Individual provider Active NPI

Eyad M Wohaibi, MD

  • Surgery Physician
  • Williamsville, NY
National Provider Identifier
1245445162
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
257881-1 Issued in NY
Practice address
2150 Wehrle Dr Ste 300
Williamsville, NY 14221-7099
Phone
(716) 453-5200
Fax
(716) 710-8075
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 257881-1 NY Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 87627915 MI

Addresses

Primary practice location

2150 Wehrle Dr Ste 300
Williamsville, NY 14221-7099

Mailing address

2150 Wehrle Dr Ste 300
Williamsville, NY 14221-7099
Phone (716) 453-5200

Other identifiers 1

IdentifierTypeStateIssuer
03244722MedicaidNY

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
I20101103000978 NY Practitioner - General Surgery 9133313109 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87627915MIMDObesity Medicine (Preventive Medicine) Physician
257881-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Surgery PLLC Obesity Medicine CurrentSince Mar 14, 2022 Accepting new patients
Mid Michigan Surgical Specialists P C Surgery Past Accepting new patients

Locations

2150 Wehrle Dr
Ste 300
Williamsville, NY 14221
Phone (716) 453-5200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1245445162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 WEHRLE DR STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217099",
            "telephone_number": "716-453-5200",
            "fax_number": "716-710-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 WEHRLE DR STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217099",
            "telephone_number": "716-453-5200",
            "fax_number": "716-710-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHAIBI",
        "first_name": "EYAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "257881-1",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "MI",
            "license": "87627915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03244722",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.