NPIMap

Individual provider Active NPI

Gregory Thomas Jehrio, MD

  • Internal Medicine Physician
  • Lockport, NY
National Provider Identifier
1033193339
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201352 Issued in NY
Practice address
393 Davison Rd
Lockport, NY 14094-4004
Phone
(716) 439-0202
Fax
(716) 478-0399
NPI assigned
Dec 1, 2005
Last updated
Jan 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 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 201352 NY Primary

Addresses

Primary practice location

393 Davison Rd
Lockport, NY 14094-4004

Mailing address

393 Davison Rd
Lockport, NY 14094-4004
Phone (716) 439-0202

Other identifiers 1

IdentifierTypeStateIssuer
01753117MedicaidNY

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
I20070517000226 NY Practitioner - Internal Medicine 1759488224 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, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

393 Davison Rd
Suite a
Lockport, NY 14094-4004
Phone (716) 439-0202

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201352NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory T Jehrio MD LLC Internal Medicine CurrentSince Oct 25, 2015 Accepting new patients

Locations

393 Davison Rd
Ste A
Lockport, NY 14094
Phone (716) 439-0202

Interoperability endpoints

  • Direct secure messaging: gjehrio@drjehrio.medentdirect.com

Organizations & group practices 2

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 12

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1033193339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944004",
            "telephone_number": "716-439-0202",
            "fax_number": "716-478-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944004",
            "telephone_number": "716-439-0202",
            "fax_number": "716-478-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEHRIO",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01753117",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.