Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518129097 Individual Practitioner Female Practitioner

Dr. Kimberly L Jackson , MD

Pediatrics • Buffalo, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Jackson, MD is a certified Pediatrics practicing in Buffalo, NY. With approximately 21 years of clinical experience since graduating from State University Of New York At Stony Brook, School Of Medicine in 2005, Dr. Jackson delivers high-quality medical care to the local community at 818 ELLICOTT ST.

Dr. Jackson is affiliated with Kaleida Health and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

818 Ellicott St

Buffalo, NY 142031021

Telephone 7163232000
Fax 7163230292
Associated Practice Facility / Clinic
🏢 Kaleida Health Facility NPI 1730139536

Medicare Profile & Education

Medical School

State University Of New York At Stony Brook, School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Buffalo, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +7.4 yrs vs City Avg
City Avg: 13.6 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
95 Specialists

Practicing in Buffalo, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (21 Years) 21 Yrs
Buffalo Specialty Average (13.6 Years) 13.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-03-02
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 248351

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03040719 (NY)

Hospital & Practice Group Affiliations

Kaleida Health

818 Ellicott St, Buffalo, NY 142031021

Phone: 7163232000

Kaleida Health

900 Hertel Ave, Buffalo, NY 142162611

Phone: 7168711571

Secondary Practice Locations

1540 Maple Rd

Williamsville, NY 142213647

Phone: 7165683600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Negar Sajjadian , MD

Student in an Organized Health Care Education/Training Program

NPI 1003501818

Doctor of Medicine (M.D.)

Dr. Stephane Ethier , MD

Student in an Organized Health Care Education/Training Program

NPI 1013850528

Doctor of Medicine (M.D.)

NPI 1023454303

Doctor of Medicine (M.D.)

Dr. Robert Welliver , MD

Student in an Organized Health Care Education/Training Program

NPI 1023697232

Doctor of Medicine (M.D.)

Dr. Melissa Azaula , MD

Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine

NPI 1043276603

Doctor of Medicine (M.D.)

Danika Cziranka-Crooks , MB, BCH, BAO

Student in an Organized Health Care Education/Training Program

NPI 1063081537

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 02, 2023

Registered at 818 ELLICOTT ST, BUFFALO, NY 142031021 (Tel: 7163232000)

📍
Updated Business Mailing Address March 02, 2023

Registered at 1001 MAIN ST FL 5, BUFFALO, NY 142031009 (Tel: 7163230034)

NPI Profile Active November 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2010

Registered at 155 LAWN AVE, BUFFALO, NY 142071816 (Tel: 7168752904)

📍
Updated Business Mailing Address November 15, 2010

Registered at 155 LAWN AVE, BUFFALO, NY 142071816 (Tel: 7168752904)

👤
Provider Name / Credentials Updated November 15, 2010

Recorded as KIMBERLY JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2010

Pediatrics (License #248351 in NY)

🟢
Initial NPI Registration & Enumeration June 26, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kimberly Jackson. Be the first to share your experience!

Sign in to leave a review for Dr. Kimberly Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1518129097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2008
Last Update: March 02, 2023
Sole Proprietor: No

Mailing Address

1001 Main St Fl 5

Buffalo, NY 142031009

Phone: 7163230034

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.