Active NPI
David B Doyle, MD
- Pediatric Urology Physician
- Kenmore, NY
National Provider Identifier
1023185584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 141996
- Practice address
- 1491 Sheridan Dr
Suite 600
Kenmore, NY 14217-1234 - Phone
- (716) 876-4047
- Fax
- (716) 876-4087
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | 141996 | NY | Primary |
Addresses
Primary practice location
1491 Sheridan Dr
Suite 600
Kenmore, NY 14217-1234
Mailing address
1491 Sheridan Dr
Suite 600
Kenmore, NY 14217-1234
Phone (716) 876-4047
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010048301 | Other | NY | UNIVERA HEALTHCARE |
| 00722798 | Medicaid | NY | |
| 000508604001 | Other | NY | BC OF WNY |
| 1900923 | Other | NY | INDEPENDENT HEALTH |
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 |
|---|---|---|---|
| 141996 | NY | MD | Pediatric Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023185584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1491 SHERIDAN DR",
"address_2": "SUITE 600",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171234",
"telephone_number": "716-876-4047",
"fax_number": "716-876-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1491 SHERIDAN DR",
"address_2": "SUITE 600",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171234",
"telephone_number": "716-876-4047",
"fax_number": "716-876-4087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "NY",
"license": "141996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA HEALTHCARE",
"identifier": "00010048301",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00722798",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OF WNY",
"identifier": "000508604001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1900923",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.