Individual provider Active NPI

Daniel Gelfond, MD

  • Pediatric Gastroenterology Physician
  • Batavia, NY
National Provider Identifier
1033200191
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
233391 Issued in NY
Practice address
166 Washington Ave
Batavia, NY 14020-2113
Phone
(585) 250-4132
Fax
(585) 345-4250
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 233391 NY Primary
Emergency Medicine Physician 207P00000X D0064632 MD

Addresses

Primary practice location

166 Washington Ave
Batavia, NY 14020-2113

Mailing address

166 Washington Ave
Batavia, NY 14020-2113
Phone (585) 250-4132

Other identifiers 3

IdentifierTypeStateIssuer
2115268OtherIHA
03012668MedicaidNY
000530623001OtherBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080818000476 NY Practitioner - Pediatric MedicinePractitioner - Gastroenterology 2466555008 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233391NYMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Pediatric Gastroenterology, PLLC Pediatric Gastroenterology CurrentSince May 19, 2014 Accepting new patients
University at Buffalo Pediatric Associates Inc PastSince Jan 1, 1998 Accepting new patients
Baltimore Washington Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Locations

166 Washington Ave
Batavia, NY 14020
Phone (585) 250-4132

Interoperability endpoints

  • Direct secure messaging: dgelfond@wnypedgi.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1033200191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 WASHINGTON AVE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202113",
            "telephone_number": "585-250-4132",
            "fax_number": "585-345-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 WASHINGTON AVE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202113",
            "telephone_number": "585-250-4132",
            "fax_number": "585-345-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELFOND",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NY",
            "license": "233391",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0064632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "2115268",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03012668",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000530623001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.