Individual provider Active NPI

Thomas Summers, MD

  • Diagnostic Radiology Physician
  • Williamsville, NY
National Provider Identifier
1063454908
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1926811 Issued in NY
Practice address
55 Spindrift Dr
Windsong Radiology Group, P.C.
Williamsville, NY 14221-7800
Phone
(716) 631-2500
Fax
(716) 631-1249
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1926811 NY Primary

Addresses

Primary practice location

55 Spindrift Dr
Windsong Radiology Group, P.C.
Williamsville, NY 14221-7800

Mailing address

55 Spindrift Dr
Windsong Radiology Group, P.C.
Williamsville, NY 14221-7800
Phone (716) 631-2500

Other identifiers 7

IdentifierTypeStateIssuer
00027013301OtherNYUNIVERA
000523331001OtherNYBCBS
300039120OtherNYRRMCR
040426000693OtherNYFIDELIS
01477903MedicaidNY
1606364OtherNYIHA
0005889OtherNYGHI

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
I20111121000112 NY Practitioner - Diagnostic Radiology 1557391919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.33 of 100Reported as group
Quality
80
Improvement activities
40
Cost
77.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1926811NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windsong Radiology Group, P C Diagnostic Radiology CurrentSince Aug 1, 1994 Accepting new patients
Frontier Surgical Associates, LLP PastSince May 15, 2017 Accepting new patients

Locations

4711 Transit Rd
Depew, NY 14043
Phone (716) 668-5331

55 Spindrift Dr
Williamsville, NY 14221
Phone (716) 447-6310

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1063454908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SPINDRIFT DR",
            "address_2": "WINDSONG RADIOLOGY GROUP, P.C.",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217800",
            "telephone_number": "716-631-2500",
            "fax_number": "716-631-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SPINDRIFT DR",
            "address_2": "WINDSONG RADIOLOGY GROUP, P.C.",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217800",
            "telephone_number": "716-631-2500",
            "fax_number": "716-631-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "1926811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027013301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000523331001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "300039120",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426000693",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01477903",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "1606364",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0005889",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.