Individual provider Active NPI

Timothy Francis Gabryel, MD

  • Internal Medicine Physician
  • West Seneca, NY
National Provider Identifier
1124061320
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
131764 Issued in NY
Practice address
1900 Ridge Rd
Ste 130
West Seneca, NY 14224-3332
Phone
(716) 675-0707
Fax
(716) 961-3706
NPI assigned
Jun 14, 2006
Last updated
Oct 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 131764 NY Primary

Addresses

Primary practice location

1900 Ridge Rd
Ste 130
West Seneca, NY 14224-3332

Mailing address

1900 Ridge Rd
Ste 130
West Seneca, NY 14224-3332
Phone (716) 675-0707

Other identifiers 3

IdentifierTypeStateIssuer
000507778001OtherBCBS
0401535OtherIHA
00010059001OtherUNIVERA

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
I20051102000011 NY Practitioner - Internal Medicine 0648253351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

1900 Ridge Rd
Suite 130
West Seneca, NY 14224-3332
Phone (716) 675-0707

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131764NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy F Gabryel MD PC Current Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 1, 2023 Accepting new patients
Trinity Medical Wny PC Internal Medicine Current Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 1, 2023 Accepting new patients

Locations

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

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

1900 Ridge Rd
Ste 130
West Seneca, NY 14224
Phone (716) 675-0707

Interoperability endpoints

  • Direct secure messaging: ann.amos@securechartupload.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1124061320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RIDGE RD",
            "address_2": "STE 130",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243332",
            "telephone_number": "716-675-0707",
            "fax_number": "716-674-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RIDGE RD",
            "address_2": "STE 130",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243332",
            "telephone_number": "716-675-0707",
            "fax_number": "716-961-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRYEL",
        "first_name": "TIMOTHY",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "131764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000507778001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0401535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010059001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.