Active NPI
Gary Miller Proulx, M.D.
- Radiation Oncology Physician
- Sanborn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 206678-1
- Practice address
- 3850 Saunders Settlement Rd
Sanborn, NY 14132-9128 - Phone
- (716) 898-2800
- Fax
- (716) 898-2805
- NPI assigned
- Feb 9, 2006
- Last updated
- Feb 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD419971 | PA | |
| Radiation Oncology Physician | 2085R0001X | 206678-1 | NY | Primary |
Addresses
Primary practice location
3850 Saunders Settlement Rd
Sanborn, NY 14132-9128
Mailing address
3085 Harlem Rd Ste 350
Cheektowaga, NY 14225-2591
Phone (716) 844-5600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00362286 | Other | NY | RR MEDICARE PIN |
| 0016314520003 | Medicaid | PA | |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| 920007329 | Other | PA | RR MEDICARE PIN |
| 01753942 | Medicaid | NY | |
| CC9269 | Other | PA | RR MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206678-1 | NY | MD | Radiation Oncology Physician |
| MD419971 | PA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
70 East St
Methuen, MA 01844
Phone (978) 682-1906
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.
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- NPI 1144544040
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- Specialist
- Watertown, MA
- NPI 1629398219
-
- Urology Physician
- Cheektowaga, NY
- NPI 1659310092
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- Specialist
- Brighton, MA
- NPI 1356654495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1194798165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3085 HARLEM RD STE 350",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142252591",
"telephone_number": "716-844-5600",
"fax_number": "716-844-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 SAUNDERS SETTLEMENT RD",
"city": "SANBORN",
"state": "NY",
"postal_code": "141329128",
"telephone_number": "716-898-2800",
"fax_number": "716-898-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROULX",
"first_name": "GARY",
"middle_name": "MILLER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "MD419971",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "206678-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00362286",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016314520003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CC8362",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "920007329",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01753942",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CC9269",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanborn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.