OrganizationActive
Kenwood Pediatrics
NPI 1063611192 · Specialist · Buffalo, NY
Kenwood Pediatrics is a Specialist organization in Buffalo, NY (NPI 1063611192).
Provider details
- NPI number
- 1063611192
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Grace Dimitroff, Physician(716) 838-6655
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2121 Main St, Ste 119
Buffalo, NY 14214
Phone: (716) 838-6655
Approximate (ZIP-level) locationGet directions
Mailing address
381 Kenmore Ave
Buffalo, NY 14223-2861
Registry dates
- Enumerated
- 2007-07-18
- Last updated
- 2020-04-20
- Certified
- 2020-04-20
Frequently asked questions
- What is Kenwood Pediatrics's NPI number?
- Kenwood Pediatrics's National Provider Identifier (NPI) is 1063611192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenwood Pediatrics?
- Kenwood Pediatrics is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Kenwood Pediatrics located?
- Kenwood Pediatrics's practice location on file with NPPES is 2121 Main St, Ste 119, Buffalo, NY 14214.
- What is Kenwood Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Kenwood Pediatrics is (716) 838-6655.
- Who is the authorized official for Kenwood Pediatrics?
- The authorized official listed on Kenwood Pediatrics's NPPES record is Grace Dimitroff, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenwood Pediatrics's NPI active?
- Yes — Kenwood Pediatrics's NPI (1063611192) is active in the NPPES registry as of the last update on 2020-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.