Kenneth L. Gayles, M.D., P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

124683 Issued in NY

Legal business name

KENNETH L. GAYLES, M.D., P.C.

Practice address

840 Humboldt Pkwy
Buffalo, NY 14211-1217

Phone

(716) 895-1100

Fax

(716) 895-8460

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth L GaylesNPI 1295764454

Title

President

Phone

(716) 895-1100

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth L Gayles, M.D.

  • Cardiovascular Disease Physician
  • Buffalo, NY
  • NPI 1295764454
  Medicare reassignment NPD Authorized official
• Rachel McCarley, LCSW-R

  • Clinical Social Worker
  • Buffalo, NY
  • NPI 1003952177
  NPD

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1073708111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 HUMBOLDT PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142111217",
            "telephone_number": "716-895-1100",
            "fax_number": "716-895-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 HUMBOLDT PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142111217",
            "telephone_number": "716-895-1100",
            "fax_number": "716-895-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH L. GAYLES, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "GAYLES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-895-1100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "124683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0098639",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010061001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS WNY",
            "identifier": "000507349001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "2100466",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00608397",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kennedy
• Nathaniel Kennedy, RN
• Samantha June Kennedy, M.S.ED
• Nicole Kennerson
• Robin Kennery
• Kenneth S. Piver MD PLLC
• Lee Elizabeth Kenneth-Walsh, LMSW
• Patrick Kenney, M.D.
• Robert Martin Kennuth
• Virginia Maria Kenny

• Cardiovascular Disease Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.