Individual provider Active NPI

Stuti Tambar, MD

  • Surgical Oncology Physician
  • Williamsville, NY
National Provider Identifier
1265756753
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
303976 Issued in NY
Practice address
192 Park Club LN Ste 120
Williamsville, NY 14221-5270
Phone
(716) 422-0010
NPI assigned
Mar 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 152140 CA
Surgical Oncology Physician 2086X0206X 303976 NY Primary

Addresses

Primary practice location

192 Park Club LN Ste 120
Williamsville, NY 14221-5270

Mailing address

PO Box 488
Buffalo, NY 14240-0488
Phone (866) 853-9551

Other practice location 1

6501 Truxtun Ave
Bakersfield, CA 93309-0633
Phone (661) 322-2206

Other identifiers 1

IdentifierTypeStateIssuer
06148049MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20171222001112 CA Practitioner - Surgical Oncology 7719245687 Reassigns benefits to 1 organization
I20201109000102 NY Practitioner - Surgical Oncology 7719245687 Reassigns benefits to 1 organization
I20241009004294 NY Practitioner - General Surgery 7719245687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 884-3000

1000 Youngs Rd
Suite 102
Williamsville, NY 14221-2644
Phone (716) 932-7776

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266

5014 Transit Rd
Depew, NY 14043-4435
Phone (716) 748-4444

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy45
Melanoma (skin cancer) excision28
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152140CAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming County CurrentSince Oct 1, 2024 Accepting new patients
Ravi Patel M.D. Inc CurrentSince Dec 1, 2017 Accepting new patients
Wyoming County Current Accepting new patients
General Physician, PC CurrentSince Nov 1, 2020 Accepting new patients
Wyoming County CurrentSince Oct 1, 2024 Accepting new patients
Wyoming County Current Accepting new patients
Wyoming County Past Accepting new patients

Locations

6501 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 322-2206

5014 Transit Rd
Depew, NY 14043
Phone (716) 684-2273

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

10175 Niagara Falls Blvd
Niagara Falls, NY 14304
Phone (716) 205-0170

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

192 Park Club Ln
Ste 120
Williamsville, NY 14221
Phone (716) 422-0010

Interoperability endpoints

  • Direct secure messaging: stambar@surgeryspecialists.medentdirect.com
  • Direct secure messaging: stambar@gppc.medentdirect.com

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 7

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": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1265756753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142400488",
            "telephone_number": "866-853-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 PARK CLUB LN STE 120",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215270",
            "telephone_number": "716-422-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 Truxtun Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933090633",
            "country_code": "US",
            "telephone_number": "661-322-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMBAR",
        "first_name": "STUTI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "152140",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "303976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06148049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.