NPIMap

Individual provider Active NPI

Joseph Dipirro, M.D.

  • Internal Medicine Physician
  • Cheektowaga, NY
National Provider Identifier
1013905801
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
213542 Issued in NY
Practice address
2625 Harlem Rd
Suite 180
Cheektowaga, NY 14225-4031
Phone
(716) 893-4797
Fax
(716) 893-1697
NPI assigned
Oct 6, 2005
Last updated
Jul 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 213542 NY Primary

Addresses

Primary practice location

2625 Harlem Rd
Suite 180
Cheektowaga, NY 14225-4031

Mailing address

2625 Harlem Rd
Suite 180
Cheektowaga, NY 14225-4031
Phone (716) 893-4797

Other identifiers 7

IdentifierTypeStateIssuer
02082406MedicaidNY
00025066303OtherNYUNIVERA
145828BJOtherNYPREFERRED CARE
000526059001OtherNYBC/BS
400768OtherNYWELLCARE
0411033OtherNYIHA
040426035694OtherNYFIDELIS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000255 NY Practitioner - Internal Medicine 0840103024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 International Dr
Williamsville, NY 14221-5771
Phone (716) 631-3555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213542NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brain & Spine Medical Services PLLC CurrentSince Apr 9, 2018 Accepting new patients
Dia Invision Health CurrentSince Apr 9, 2018 Accepting new patients
Southgate Medical Group,LLP Internal Medicine PastSince Jan 1, 2003 Accepting new patients

Locations

2507 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 893-0633

400 International Dr
Williamsville, NY 14221
Phone (716) 631-1516

Interoperability endpoints

  • Direct secure messaging: jdipirro@invisionhealthbrainandspine.medentdirect.com

Organizations & group practices 3

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

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1013905801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD",
            "address_2": "SUITE 180",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-893-4797",
            "fax_number": "716-893-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD",
            "address_2": "SUITE 180",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-893-4797",
            "fax_number": "716-893-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIRRO",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "213542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02082406",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025066303",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "145828BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000526059001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "400768",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0411033",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426035694",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.