Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mohammed Idris, MD

Individual provider Anesthesiology Physician · NPI 1306368683

Dr. Mohammed Idris, MD is an Anesthesiology in Buffalo, New York. Qualified in 2017, 9 years ago. Practices with Great Lakes Anesthesiology PC, a 90-clinician group and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
9
Licensed in
MI, NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1001 Main St Ste K3502
Buffalo, NY 14203-1009
Phone: (716) 323-6584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 313831 (NY)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301506127 (MI)

Record details

NPI number1306368683
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2017
Last updated in NPPESFebruary 5, 2023
Certification dateFebruary 5, 2023
Mailing address1001 Main St Ste K3502, Buffalo, NY 14203-1009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Great Lakes Anesthesiology Pc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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