Individual provider Active NPI

Gregory Thomas Clabeaux, DO

  • Vascular Surgery Physician
  • Buffalo, NY
National Provider Identifier
1205098159
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
278214 Issued in NY
Practice address
2121 Main Street
Suite 316
Buffalo, NY 14214-2673
Phone
(716) 837-2400
Fax
(716) 837-3860
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 278214 NY Primary

Addresses

Primary practice location

2121 Main Street
Suite 316
Buffalo, NY 14214-2673

Mailing address

2121 Main Street
Suite 316
Buffalo, NY 14214-2673
Phone (716) 837-2400

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
I20150721000538 NY Practitioner - Vascular Surgery 6709199730 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians
Buffalo Medical Group, P.C.Group PAC ID 7012820301, 233 clinicians

Practice addresses (Care Compare)

1 Colomba Dr
Niagara Falls, NY 14305-1205
Phone (716) 837-2400

1360 N Forest Rd
Williamsville, NY 14221-1200

2121 Main St
Suite 215
Buffalo, NY 14214-2693
Phone (716) 995-7789

2121 Main St
Suite 316
Buffalo, NY 14214-2673
Phone (716) 837-2400

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 837-2400

2625 Harlem Rd
Cheektowaga, NY 14225-4031

295 Essjay Rd
Williamsville, NY 14221-8216
Phone (716) 630-1000

2950 Elmwood Ave
Kenmore, NY 14217-1304

3040 Amsdell Rd
Hamburg, NY 14075-5835
Phone (716) 837-2400

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

4949 Harlem Rd
Amherst, NY 14226-2500
Phone (716) 837-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.31 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
83.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal22
Leg revascularization (restoring blood flow)40
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Medical Group, P.C. CurrentSince Aug 1, 2015 Accepting new patients
Trinity Medical Wny PC Vascular Surgery CurrentSince Oct 1, 2020 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Aug 1, 2015 Accepting new patients
Trinity Medical Wny PC CurrentSince Oct 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Past Accepting new patients

Locations

2121 Main St
Ste 316
Buffalo, NY 14214
Phone 7168372400116

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

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

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

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

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

2625 Harlem Rd
Ste 110
Cheektowaga, NY 14225
Phone (716) 897-2207

2625 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2570

4855 Camp Rd
Ste 400
Hamburg, NY 14075
Phone (609) 845-3988

6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400

1 Colomba Dr
Niagara Falls, NY 14305
Phone (716) 298-1273

3900 N Buffalo St
Orchard Park, NY 14127
Phone (716) 630-1112

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

6255 Sheridan Dr
Ste 304
Williamsville, NY 14221
Phone (716) 857-8666

295 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1050

Interoperability endpoints

  • Direct secure messaging: gclabeaux21832@direct.chsbuffalo.org
  • Direct secure messaging: gclabeaux6657@direct.buffalomedicalgroup.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1205098159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MAIN STREET",
            "address_2": "SUITE 316",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142673",
            "telephone_number": "716-837-2400",
            "fax_number": "716-837-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MAIN STREET",
            "address_2": "SUITE 316",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142673",
            "telephone_number": "716-837-2400",
            "fax_number": "716-837-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLABEAUX",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "278214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.