Pure Podiatry of Wny PLLC
NPI 1114382520 · Podiatrist · Buffalo, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pure Podiatry of Wny PLLC is a Podiatrist organization in Buffalo, NY (NPI 1114382520).
Provider details
- NPI number
- 1114382520
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Breeann Wilson, Owner(716) 897-3720
- License
- 006328 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2015-12-30
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Frequently asked questions
- What is Pure Podiatry of Wny PLLC's NPI number?
- Pure Podiatry of Wny PLLC's National Provider Identifier (NPI) is 1114382520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure Podiatry of Wny PLLC?
- Pure Podiatry of Wny PLLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Pure Podiatry of Wny PLLC located?
- Pure Podiatry of Wny PLLC's practice location on file with NPPES is 1431 Hertel Ave, Buffalo, NY 14216-2871.
- What is Pure Podiatry of Wny PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pure Podiatry of Wny PLLC is (716) 897-3720.
- Does Pure Podiatry of Wny PLLC accept Medicare?
- Pure Podiatry of Wny PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pure Podiatry of Wny PLLC?
- The authorized official listed on Pure Podiatry of Wny PLLC's NPPES record is Breeann Wilson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure Podiatry of Wny PLLC's NPI active?
- Yes — Pure Podiatry of Wny PLLC's NPI (1114382520) is active in the NPPES registry as of the last update on 2024-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.