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Contact Information

Kaleida Health
Medical Staff Office

1028 Main Street
Buffalo, NY 14203

  • (716) 859-5501

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Doctor at bedsideMedical/Dental Staff
Application

Thank you for your interest in Kaleida Health.

In order to receive privileges at Kaleida Health, applicants are required to complete the Medical/Dental Staff Application form and an online learning tutorial.

Please refer to the FAQ section if you have questions on the application process. If you need assistance please call the Medical Staff Office at (716) 859-5501.

Step 1

Application LinkComplete the
Physician Application

A check sheet within the document will assist you in completing the form and submitting all required information.
Download PDF

OR

Step 1

Application Link Advanced Practice Provider Application
A check sheet within the document will assist you in completing the form and submitting all required information.
Download PDF

Note:

Kaleida Health Incentive "Gainsharing" Program
Kaleida Health has a quality improvement and cost-reduction program (Incentive Program or Program) that aligns our incentives with that of eligible physicians. The Program is intended to improve the efficiency of our delivery of inpatient medical and surgical services, while maintaining or improving the quality of care. The Incentive Program will compensate physicians who reduce inpatient resource utilization by eliminating medically unnecessary services. The Incentive Program, also known as “gainsharing,” applies to commercial and Medicare and Medicaid managed care patients only; it does not involve Medicare or Medicaid fee-for-service patients, due to legal constraints.

Download Individual Form        Download Group Form

Note:

Application LinkKaleida Health Bundled Payment Shared Savings Program
The Kaleida Health Bundled Payment Shared Savings Program is intended to incentivize practitioners to participate in specified quality metrics, in order to improve the quality, patient experience and cost-effectiveness of care provided to applicable Medicare beneficiaries.

Bundled Pymt Agreement - Individual        Bundled Pymt Agreement - Group

Step 2

Submit the Application and Required Forms
Send to: Kaleida Health Medical Staff Office
1028 Main Street, 3rd Floor
Buffalo, NY 14202

Step 3

Appointment Fee Payment
As a convenience, you may pay your non-refundable appointment fee using any major credit card. Otherwise, please include a check as per the application instructions.
Make Payment