NPIMap

Organization Active NPI

Wny House Physician PLLC

  • Internal Medicine Physician
  • Amherst, NY
National Provider Identifier
1003449745
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WNY HOUSE PHYSICIAN PLLC
Practice address
60 Brynstone CT
Amherst, NY 14228-3703
Phone
(716) 345-6960
NPI assigned
Feb 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Dr. Anees AhmadNPI 1881760049
Title
Owner
Phone
(716) 345-6960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

60 Brynstone CT
Amherst, NY 14228-3703

Mailing address

60 Brynstone CT
Amherst, NY 14228-3703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200710000485 NY Part B Supplier - Clinic/Group Practice 0345663209 Receives reassigned benefits from 11 practitioners
Practice locations: Amherst, NY
O20230531000245 FL Part B Supplier - Clinic/Group Practice 0345663209 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1003449745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BRYNSTONE CT",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142283703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BRYNSTONE CT",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142283703",
            "telephone_number": "716-345-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNY HOUSE PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ANEES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-345-6960",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.