NPIMap

Individual provider Active NPI

Ajay N Panchal, M.D.

  • Surgery Physician
  • Williamsville, NY
National Provider Identifier
1053573444
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
267266 Issued in NY
Practice address
6044 Main St Ste 110
Williamsville, NY 14221-6883
Phone
(716) 833-7112
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 267266 NY Primary

Addresses

Primary practice location

6044 Main St Ste 110
Williamsville, NY 14221-6883

Mailing address

20 Hidden Pines CT
East Amherst, NY 14051-1688
Phone (716) 689-6388

Other identifiers 1

IdentifierTypeStateIssuer
03723104MedicaidNY

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
I20131002000302 NY Practitioner - General Surgery 0648404806 Reassigns benefits to 2 organizations
Practice locations: Amherst, NY

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of New York at Buffalo School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University at Buffalo Surgeons IncGroup PAC ID 4183612799, 40 clinicians

Practice addresses (Care Compare)

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone (716) 447-6100

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-5600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)45
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kenmore Mercy Hospital Current Accepting new patients
Kenmore Mercy Hospital CurrentSince Jul 5, 2025 Accepting new patients
University at Buffalo Surgeons Inc Surgery CurrentSince Nov 1, 2020 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
Kenmore Mercy Hospital Past Accepting new patients
Kaleida Health Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

111 N Maplemere Rd
Ste 150
Williamsville, NY 14221
Phone (716) 626-2644

111 N Maplemere Rd
Ste 170
Williamsville, NY 14221
Phone (716) 588-5086

Interoperability endpoints

  • Direct secure messaging: ajaypanchal@ubmd.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1053573444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HIDDEN PINES CT",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511688",
            "telephone_number": "716-689-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 MAIN ST STE 110",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216883",
            "telephone_number": "716-833-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "AJAY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "267266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03723104",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.