Organization Active NPI

Zulkharnain Medical Services, PC

  • Internal Medicine Physician
  • Kenmore, NY
National Provider Identifier
1023101607
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
206334 Issued in NY
Legal business name
ZULKHARNAIN MEDICAL SERVICES, PC
Practice address
Kenmore Mercy Hospital
2885 Kenmore Ave
Kenmore, NY 14217
Phone
(716) 447-6100
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Dr. Zulkharnain
Title
Owner
Phone
(716) 649-0887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 206334 NY Primary

Addresses

Primary practice location

Kenmore Mercy Hospital
2885 Kenmore Ave
Kenmore, NY 14217

Mailing address

136 Sobieski St
Buffalo, NY 14212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050307000095 NY Part B Supplier - Clinic/Group Practice 1052365772 Receives reassigned benefits from 5 practitioners
Practice locations: Buffalo, NY; Kenmore, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1023101607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SOBIESKI ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KENMORE MERCY HOSPITAL",
            "address_2": "2885 KENMORE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-447-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZULKHARNAIN MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "ZULKHARNAIN",
        "authorized_official_first_name": "DR.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-649-0887"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "206334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.