Individual provider Active NPI

Michael Tworkowski, PA

  • Physician Assistant
  • Amherst, NY
National Provider Identifier
1174939425
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017678 Issued in NY
Practice address
1416 Sweet Home Rd Ste 12
Amherst, NY 14228-2784
Phone
(716) 688-5088
Fax
(716) 650-5744
NPI assigned
Jul 8, 2014
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017678 NY Primary
Pain Medicine Physician 208VP0000X 017678 NY

Addresses

Primary practice location

1416 Sweet Home Rd Ste 12
Amherst, NY 14228-2784

Mailing address

1416 Sweet Home Rd Ste 12
Amherst, NY 14228-2784
Phone (716) 688-5088

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140829000767 NY Practitioner - Physician Assistant 1658599816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buffalo Pain Medicine PCGroup PAC ID 4688839095, 2 clinicians

Practice addresses (Care Compare)

1416 Sweet Home Rd
Suite 11And12
Amherst, NY 14228-2784
Phone (716) 688-5088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017678NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Neurosurgery, Inc. CurrentSince Aug 6, 2018 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

737 Main St
Ste 300
Buffalo, NY 14203

40 George Karl Blvd
Williamsville, NY 14221

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1174939425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 SWEET HOME RD STE 12",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282784",
            "telephone_number": "716-688-5088",
            "fax_number": "716-650-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 SWEET HOME RD STE 12",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282784",
            "telephone_number": "716-688-5088",
            "fax_number": "716-650-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWORKOWSKI",
        "first_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017678",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "017678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.