Individual provider Active NPI

Unknown Zulkharnain, MD

  • Internal Medicine Physician
  • Kenmore, NY
National Provider Identifier
1124195649
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
206334 Issued in NY
Practice address
2950 Elmwood Ave
Kenmore Mercy Hospital
Kenmore, NY 14217-1304
Phone
(716) 447-6100
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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 206334 NY Primary

Addresses

Primary practice location

2950 Elmwood Ave
Kenmore Mercy Hospital
Kenmore, NY 14217-1304

Mailing address

136 Sobieski St
Buffalo, NY 14212
Phone (716) 649-0887

Other identifiers 4

IdentifierTypeStateIssuer
01614204MedicaidNY
0409228OtherNYIHA
00010195106OtherNYUNIVERA
000523687009OtherNYWNY BCBS

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
I20040319001000 NY Practitioner - Internal Medicine 9032009220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zulkharnain Medical Services PCGroup PAC ID 1052365772, 2 clinicians

Practice addresses (Care Compare)

2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone (716) 447-6100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zulkharnain Medical Services, PC Internal Medicine CurrentSince Jul 1, 2001 Accepting new patients
Crescent Medical Consultants LLC Internal Medicine CurrentSince Apr 11, 2021 Accepting new patients
Wny Internal Medicine P.C. Internal Medicine Past Accepting new patients
Elder Medical Services PC PastSince Aug 1, 2004 Accepting new patients

Locations

1263 Delaware Ave
Buffalo, NY 14209
Phone (716) 219-3636

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Organizations & group practices 4

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1124195649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SOBIESKI ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14212",
            "telephone_number": "716-649-0887",
            "fax_number": "716-646-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 ELMWOOD AVE",
            "address_2": "KENMORE MERCY HOSPITAL",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171304",
            "telephone_number": "716-447-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULKHARNAIN",
        "first_name": "UNKNOWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "206334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01614204",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0409228",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010195106",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WNY BCBS",
            "identifier": "000523687009",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

Verify at the official NPI Registry.