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

Mark Alan Medakovich, CRNA

Individual provider Registered Nurse · NPI 1780144410

Mark Alan Medakovich, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Buffalo, New York. Qualified in 2019, 7 years ago. Practices with Roswell Park Cancer Institute, a 489-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Partly verified

Some contact details are missing from the federal record.

Elm And Carlton Streets
Buffalo, NY 14263-1104
Phone: (716) 845-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 665 Elm St, Buffalo, NY 14203-1104 — (800) 767-9355

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 647277 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 647277 (NY)

Record details

NPI number1780144410
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Roswell Park Cancer Institute — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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