Active NPI
Andrew Henry Talal, MD
- Gastroenterology Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 203220
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02134783 | Medicaid | NY |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Academic Medicine Services, Inc. | Internal Medicine | Current | 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 | Past | 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
- 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.
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1255394763
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
-
- Clinic/Center
- New York, NY
- NPI 1548208127
Internal Medicine
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Gastroenterology Physician
- New York, NY
- NPI 1932143815
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.