Active NPI
Michael S Winnicki, MD
- Internal Medicine Physician
- Buffalo, NY
National Provider Identifier
1013950138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 155345
- Practice address
- Elm and Carlton St
Buffalo, NY 14263-0001 - Phone
- (716) 845-2300
- Fax
- (716) 845-4693
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 155345 | NY | Primary |
| Internal Medicine Physician | 207R00000X | MD450188 | PA |
Addresses
Primary practice location
Elm and Carlton St
Buffalo, NY 14263-0001
Mailing address
Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01740436 | Medicaid | NY | |
| 1028852910003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD450188 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamestown Area Medical Associates, L.L.P. | Internal Medicine | Current | Accepting new patients |
| Great Lakes Physician Practice PC | Internal Medicine | Current | Accepting new patients |
| Excela Health Physician Practices, Inc | Current | Accepting new patients |
Locations
207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141
15 S Main St
Ste 300
Jamestown, NY 14701
Phone (716) 488-1877
532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000
Interoperability endpoints
- mwinnicki@direct.excelahealth.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1730599176
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1528010766
-
- Cardiovascular Disease Physician
- Greensburg, PA
- NPI 1821225202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1013950138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ELM AND CARLTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142630001",
"telephone_number": "716-845-2300",
"fax_number": "716-845-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ELM AND CARLTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142630001",
"telephone_number": "716-845-2300",
"fax_number": "716-845-4693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINNICKI",
"first_name": "MICHAEL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "155345",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD450188",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01740436",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1028852910003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.