Individual provider Active NPI

William James Gibbons, MD

  • Pulmonary Disease Physician
  • Williamsville, NY
National Provider Identifier
1215042700
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
163600 Issued in NY
Practice address
1020 Youngs Rd Ste 110
Williamsville, NY 14221-2698
Phone
(716) 961-9900
Fax
(716) 961-9911
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 163600 NY
Pulmonary Disease Physician 207RP1001X 163600 NY Primary

Addresses

Primary practice location

1020 Youngs Rd Ste 110
Williamsville, NY 14221-2698

Mailing address

1020 Youngs Rd Ste 110
Williamsville, NY 14221-2698
Phone (716) 961-9900

Other practice location 1

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-2271

Other practice location 2

Elm and Carlton Streets
Buffalo, NY 14263-0001
Phone (716) 845-2300

Other identifiers 4

IdentifierTypeStateIssuer
005249731OtherNYHEALTH NOW
01781626MedicaidNY
2809907OtherNYINDEPENDENT HEALTH
00020506601OtherNYEXCELLUS UNIVERA

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
I20070205000248 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3678575685 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Hahnemann University College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Academic Medicine Services, Inc.Group PAC ID 0941105241, 115 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-5600

1001 Main St
FL 4
Buffalo, NY 14203-1009
Phone (716) 961-9900

1020 Youngs Rd
Williamsville, NY 14221-2698
Phone (716) 961-9900

462 Grider St
Buffalo, NY 14215-3021

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Park Cancer Institute CurrentSince Nov 10, 2020 Accepting new patients
Kaleida Health Current Accepting new patients
Academic Medicine Services, Inc. Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
Kaleida Health CurrentSince Apr 1, 2008 Accepting new patients
Roswell Park Cancer Institute CurrentSince Nov 10, 2020 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
Kaleida Health CurrentSince Apr 1, 2008 Accepting new patients

Locations

Elm and Carlton St
Buffalo, NY 14263

4498 Main St
Ste 23
Buffalo, NY 14226

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

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

Dept 8000
Buffalo, NY 14267

462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

1020 Youngs Rd
Ste 110
Williamsville, NY 14221
Phone (716) 636-8284

1020 Youngs Rd
Williamsville, NY 14221
Phone (716) 636-1600

Interoperability endpoints

  • Direct secure messaging: williamgibbons@ubmd.allscriptsdirect.net

Organizations & group practices 7

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 6

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1215042700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 YOUNGS RD STE 110",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212698",
            "telephone_number": "716-961-9900",
            "fax_number": "716-961-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 YOUNGS RD STE 110",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212698",
            "telephone_number": "716-961-9900",
            "fax_number": "716-961-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 High St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031126",
            "country_code": "US",
            "telephone_number": "716-859-2271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Elm and Carlton Streets",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142630001",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "fax_number": "716-845-1374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "163600",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "163600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "005249731",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01781626",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "2809907",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS UNIVERA",
            "identifier": "00020506601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.