Anna Gavriluke, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD434254 Issued in PA

Practice address

4201 N Buffalo Rd
Orchard Park, NY 14127-2402

Phone

(716) 662-2544

Fax

(716) 662-2545

NPI assigned

Nov 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anna Iagounova Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Niagara Hospitalist, PC

  • Hospitalist Physician
  • Williamsville, NY
  • NPI 1184664963
  NPD (past)

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1295035517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 N BUFFALO RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272402",
            "telephone_number": "716-662-2544",
            "fax_number": "716-662-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N BUFFALO RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272402",
            "telephone_number": "716-662-2544",
            "fax_number": "716-662-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVRILUKE",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD434254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "IAGOUNOVA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• McKenzie Gardner, MSPT
• Frederick Carlton Gass, M.D.
• Barrett Gast, PA
• Amber Gaudy
• Danielle Marie Gaulin
• Tara Gawel, PT, OCS
• Amber C Gawera
• Jacob Gawronski, DPT
• Gaymar Industries Inc
• Charles Geary, PT

• Internal Medicine Physician in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.