Individual provider Active NPI

Gina Nicole Tundo, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Cheektowaga, NY
National Provider Identifier
1003293887
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
310311 Issued in NY
Practice address
3085 Harlem Rd Ste 200
Cheektowaga, NY 14225-2591
Phone
(716) 844-5000
Fax
(716) 844-5750
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 310311 NY Primary

Addresses

Primary practice location

3085 Harlem Rd Ste 200
Cheektowaga, NY 14225-2591

Mailing address

3085 Harlem Rd Ste 350
Cheektowaga, NY 14225-2591
Phone (716) 844-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726003151 NY Practitioner - Urology 0042518235 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York at Buffalo School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Lakes Physician PCGroup PAC ID 9133434269, 65 clinicians
Erie County Medical Center CorporationGroup PAC ID 1456308907, 316 clinicians

Practice addresses (Care Compare)

3085 Harlem Rd
Suite 200
Cheektowaga, NY 14225-2591
Phone (716) 844-5000

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Erie County Medical Center Hospital, Buffalo, NY, CCN 330219
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

Merit-based Incentive Payment System (MIPS)

Final score
75.58 of 100Reported as group
Quality
39.81
Promoting interoperability
88
Improvement activities
40
Cost
83.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Physician, PC Urology CurrentSince Aug 30, 2021 Accepting new patients
Erie County Medical Center Corporation CurrentSince Aug 30, 2021 Accepting new patients
Erie County Medical Center Corporation CurrentSince Aug 30, 2021 Accepting new patients
Great Lakes Physician, PC Urology CurrentSince Aug 30, 2021 Accepting new patients
Harlem Road Ambulatory Surgery Center LLC CurrentSince Oct 10, 2023 Accepting new patients

Locations

1001 Main St
Buffalo, NY 14203
Phone (716) 323-0225

726 Exchange St
Ste 200
Buffalo, NY 14210

3085 Harlem Rd
Ste 300
Cheektowaga, NY 14225
Phone (716) 422-5422

3085 Harlem Rd
Ste 350
Cheektowaga, NY 14225
Phone (716) 844-5000

3085 Harlem Rd
Ste 200
Cheektowaga, NY 14225
Phone (716) 844-5000

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

3850 Saunders Settlement Rd
Sanborn, NY 14132
Phone (716) 898-2800

Interoperability endpoints

  • Direct secure messaging: drtundo@qualitycare.medentdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1003293887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 HARLEM RD STE 350",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252591",
            "telephone_number": "716-844-5600",
            "fax_number": "716-844-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 HARLEM RD STE 200",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252591",
            "telephone_number": "716-844-5000",
            "fax_number": "716-844-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNDO",
        "first_name": "GINA",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NY",
            "license": "310311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.