Individual provider Active NPI

Amy L Damiani, M.D.

  • Internal Medicine Physician
  • Gowanda, NY
National Provider Identifier
1174626170
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
190873 Issued in NY
Practice address
1 School St Ste 107
Gowanda, NY 14070-1143
Phone
(716) 241-7067
NPI assigned
Sep 6, 2006
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 190873 NY Primary

Addresses

Primary practice location

1 School St Ste 107
Gowanda, NY 14070-1143

Mailing address

107 Institute St
Jamestown, NY 14701-6628
Phone (716) 484-4334

Other identifiers 2

IdentifierTypeStateIssuer
01417358MedicaidNY
020024504OtherNYRAILROAD MEDICARE

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
I20100331000397 NY Practitioner - Internal Medicine 8224164082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albany Medical College of Union University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Chautauqua Center IncGroup PAC ID 7214178326, 35 clinicians

Practice addresses (Care Compare)

1 School St
Gowanda, NY 14070-1133
Phone (716) 241-7067

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnes Primary Care Associates, P.C. Internal Medicine Current Accepting new patients
Tri-County Family Medicine Asso PC CurrentSince Nov 24, 2025 Accepting new patients
The Chautauqua Center, Inc CurrentSince Sep 15, 2025 Accepting new patients
Brooks - TLC Hospital System, Inc. Past Accepting new patients
Seneca Nation of Indians Past Accepting new patients
Chautauqua PT OT & SLP Professionals PLLC Past Accepting new patients

Locations

826 Lake St
Angola, NY 14006
Phone (716) 549-7777

1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036

10988 Bennett State Rd
Forestville, NY 14062
Phone (716) 732-7770

1 School St
Ste 107
Gowanda, NY 14070
Phone (716) 241-7067

107 Institute St
Jamestown, NY 14701
Phone (716) 484-4334

113 Main St
Silver Creek, NY 14136
Phone (716) 934-4518

Interoperability endpoints

  • Direct secure messaging: amy.damiani.1@22211.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1174626170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 INSTITUTE ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016628",
            "telephone_number": "716-484-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCHOOL ST STE 107",
            "city": "GOWANDA",
            "state": "NY",
            "postal_code": "140701143",
            "telephone_number": "716-241-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIANI",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01417358",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020024504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gowanda, NY

Sources for this page

Verify at the official NPI Registry.