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

Richard James Boneberg, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1215988191

Richard James Boneberg, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Buffalo, New York. Qualified in 2005, 21 years ago. Practices with Great Lakes Anesthesiology PC, a 90-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1001 Main St # K3502
Buffalo, NY 14203-1009
Phone: (716) 323-6570
Fax: (716) 323-6658
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4733151 (NY)

Record details

NPI number1215988191
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Great Lakes Anesthesiology Pc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Buffalo