Individual provider Active NPI

Michael Robert Markiewicz, D.D.S, M.P.H, M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Buffalo, NY
National Provider Identifier
1225291347
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
036138497 Issued in IL
Practice address
3435 Main St
Buffalo, NY 14214-3001
Phone
(716) 829-6032
Fax
(716) 829-3019
NPI assigned
Jul 9, 2008
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 058934 NY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 286755 NY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 058934 NY
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 286755 NY
Plastic and Reconstructive Surgery Physician 2086S0122X 286755 NY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 036138497 IL Primary

Addresses

Primary practice location

3435 Main St
Buffalo, NY 14214-3001

Mailing address

3435 Main St
Buffalo, NY 14214-3001
Phone (716) 829-6032

Other practice location 1

801 S Paulina St
Chicago, IL 60612-7210
Phone (312) 996-1052

Other practice location 2

462 Grider St
Buffalo, NY 14215-3098
Phone (716) 898-4054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150601002513 FL Practitioner - Maxillofacial Surgery 6507011152 Reassigns benefits to 2 organizations
I20160802001147 IL Practitioner - Maxillofacial Surgery 6507011152 Reassigns benefits to 1 organization
I20170427000112 NY Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 6507011152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ub Oral and Maxillofacial Surgery, IncGroup PAC ID 4385813625, 3 clinicians

Practice addresses (Care Compare)

3435 Main St
Buffalo, NY 14214-3001
Phone (716) 829-6004

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 829-6004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
058934NYMDOral and Maxillofacial Surgery (Dentist)
036138497ILMDOral & Maxillofacial Surgery (D.M.D.)
286755NYMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Jul 1, 2016 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
University at Buffalo Pathologists, Inc Current Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Kaleida Health CurrentSince May 10, 2017 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Erie County Medical Center Corporation CurrentSince May 4, 2019 Accepting new patients
University of Florida Jacksonville Physicians Inc Plastic and Reconstructive Surgery CurrentSince Jul 1, 2015 Accepting new patients
Kaleida Health Current Accepting new patients
University of Florida Jacksonville Physicians Inc Oral and Maxillofacial Surgery CurrentSince Mar 21, 2015 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Mar 21, 2015 Accepting new patients
Ub Oral & Maxillofacial Surgery, Inc Oral and Maxillofacial Surgery CurrentSince Aug 26, 2019 Accepting new patients
Erie County Medical Center Corporation CurrentSince May 4, 2019 Accepting new patients
The Board of Trustees of the University of Illinois Oral & Maxillofacial Surgery CurrentSince Jul 1, 2016 Accepting new patients
Kaleida Health CurrentSince May 10, 2017 Accepting new patients
Pediatric Dental Associates PLLC Oral and Maxillofacial Surgery Past Accepting new patients
Kaleida Health Past Accepting new patients
Board of Trustees of the University of Illinois Oral and Maxillofacial Surgery Past Accepting new patients

Locations

653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

7732 Solutions Ctr
Chicago, IL 60677

801 S Paulina St
Chicago, IL 60612
Phone (312) 996-1052

801 S Paulina St
#621
Chicago, IL 60612
Phone (312) 355-1661

840 S Wood St
#958
Chicago, IL 60612
Phone (312) 355-0104

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

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

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

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1225291347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143001",
            "telephone_number": "716-829-6032",
            "fax_number": "716-829-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143001",
            "telephone_number": "716-829-6032",
            "fax_number": "716-829-3019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Paulina St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127210",
            "country_code": "US",
            "telephone_number": "312-996-1052",
            "fax_number": "312-996-5987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "462 Grider St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142153098",
            "country_code": "US",
            "telephone_number": "716-898-4054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKIEWICZ",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.P.H, M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "058934",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "286755",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "058934",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NY",
            "license": "286755",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "286755",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IL",
            "license": "036138497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.