Individual provider Active NPI

Fiyinfolu Olutosin Odemuyiwa

  • Hematology & Oncology Physician
  • Williamsville, NY
National Provider Identifier
1104347558
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
326899 Issued in NY
Practice address
45 Spindrift Dr Ste 100
Williamsville, NY 14221-7889
Phone
(716) 884-3000
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 326899 NY Primary

Addresses

Primary practice location

45 Spindrift Dr Ste 100
Williamsville, NY 14221-7889

Mailing address

PO Box 488
Buffalo, NY 14240-0488
Phone (716) 884-3000

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
I20240702001244 NY Practitioner - Internal MedicinePractitioner - Hematology/Oncology 3870915390 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

45 Spindrift Dr
Suite 100
Williamsville, NY 14221-7889
Phone (716) 422-5422

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital Hematology & Oncology CurrentSince Mar 23, 2026 Accepting new patients
Erie County Medical Center Corporation CurrentSince Sep 1, 2024 Accepting new patients
Olean General Hospital CurrentSince Mar 23, 2026 Accepting new patients
Erie County Medical Center Corporation CurrentSince Sep 1, 2024 Accepting new patients
General Physician, PC CurrentSince Aug 1, 2024 Accepting new patients

Locations

100 High St
#D1
Buffalo, NY 14203
Phone (716) 422-0010

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

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

528 N Barry St
Olean, NY 14760
Phone (716) 375-7416

45 Spindrift Dr
Ste 100
Williamsville, NY 14221
Phone (716) 422-5422

Interoperability endpoints

  • Direct secure messaging: fodemuyiwa@gppc.medentdirect.com

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1104347558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142400488",
            "telephone_number": "716-884-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SPINDRIFT DR STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217889",
            "telephone_number": "716-884-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEMUYIWA",
        "first_name": "FIYINFOLU",
        "middle_name": "OLUTOSIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "326899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.