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

MS. Vidya Premanand Nagrale, MD

Individual provider Molecular Genetic Pathology (Pathology) Physician · NPI 1265750178

MS. Vidya Premanand Nagrale, MD is a Pathology in Buffalo, New York. Qualified in 1998, 28 years ago. Practices with UTMB Faculty Group Practice, a 1,074-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and New York.

Years since qualifying
28
Licensed in
IL, NY
In the registry since
2010
Specialties on file
8
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Elm And Carlton St
Buffalo, NY 14263-0001
Phone: (716) 845-2300
Fax: (716) 845-3549
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1740 W. Taylor, Chicago, IL 60612 — (312) 996-7312

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 274937 (NY)
Molecular Genetic Pathology (Pathology) Physician Taxonomy 207ZP0007X · Licence 274937 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125058857 (IL)
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X · Licence 274937 (NY)
Clinical Pathology Physician Taxonomy 207ZC0006X · Licence 274937 (NY)
Cytopathology Physician Taxonomy 207ZC0500X · Licence 274937 (NY)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 274937 (NY)
Hematology (Pathology) Physician Taxonomy 207ZH0000X · Licence 274937 (NY)

Record details

NPI number1265750178
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2010
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Utmb Faculty Group Practice — 1074 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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