Organization Active NPI

Windsong Health Medical Alliance, PLLC

  • Surgery Physician
  • Williamsville, NY
National Provider Identifier
1043665516
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WINDSONG HEALTH MEDICAL ALLIANCE, PLLC
Practice address
55 Spindrift Dr
Williamsville, NY 14221-7800
Phone
(716) 631-2500
Fax
(716) 626-6312
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Katrina Roelle
Title
Director of Credentialing
Phone
(614) 689-1691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

55 Spindrift Dr
Williamsville, NY 14221-7800

Mailing address

55 Spindrift Dr
Williamsville, NY 14221-7800
Phone (716) 631-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160628000324 NY Part B Supplier - Clinic/Group Practice 8527359272 Receives reassigned benefits from 7 practitioners
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

55 Spindrift Dr
Ste 220
Williamsville, NY 14221
Phone (716) 626-6300

Practitioners & affiliated clinicians

Practitioners 8

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": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1043665516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SPINDRIFT DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217800",
            "telephone_number": "716-631-2500",
            "fax_number": "716-626-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SPINDRIFT DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217800",
            "telephone_number": "716-631-2500",
            "fax_number": "716-626-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSONG HEALTH MEDICAL ALLIANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "ROELLE",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "614-689-1691"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.