Individual provider Active NPI

Andrew Henry Talal, MD

  • Gastroenterology Physician
  • Buffalo, NY
National Provider Identifier
1063502235
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
203220 Issued in NY
Practice address
875 Ellicott St
Suite 6090
Buffalo, NY 14203-1070
Phone
(716) 888-4738
Fax
(716) 854-1397
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 203220 NY
Gastroenterology Physician 207RG0100X 203220 NY Primary

Addresses

Primary practice location

875 Ellicott St
Suite 6090
Buffalo, NY 14203-1070

Mailing address

875 Ellicott St
Suite 6090
Buffalo, NY 14203-1070
Phone (716) 888-4738

Other identifiers 1

IdentifierTypeStateIssuer
02134783MedicaidNY

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
I20100607000553 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 4486784105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Texas Medical School at San Antonio, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Medicine Services, Inc.Group PAC ID 0941105241, 115 clinicians

Practice addresses (Care Compare)

1001 Main St
FL 4
Buffalo, NY 14203-1009
Phone (716) 961-9900

1020 Youngs Rd
Williamsville, NY 14221-2698
Phone (716) 961-9900

462 Grider St
Buffalo, NY 14215-3021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jun 1, 2019 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Academic Medicine Services, Inc. Internal Medicine CurrentSince Sep 4, 2012 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Past Accepting new patients
Weill Medical College of Cornell Gastroenterology PastSince Jan 1, 1992 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

875 Ellicott St
Ste 6090
Buffalo, NY 14203
Phone (716) 888-4738

462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803

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

1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284

4498 Main St
Ste 23
Buffalo, NY 14226

158 Holden St
Buffalo, NY 14214
Phone (716) 834-0280

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

Interoperability endpoints

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

Organizations & group practices 7

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1063502235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ELLICOTT ST",
            "address_2": "SUITE 6090",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031070",
            "telephone_number": "716-888-4738",
            "fax_number": "716-854-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ELLICOTT ST",
            "address_2": "SUITE 6090",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031070",
            "telephone_number": "716-888-4738",
            "fax_number": "716-854-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAL",
        "first_name": "ANDREW",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203220",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "203220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02134783",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.