Individual provider Active NPI

Thomas McTernan, M.D.

  • Internal Medicine Physician
  • Silver Creek, NY
National Provider Identifier
1336242387
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
222824 Issued in NY
Practice address
113 Main St
Silver Creek, NY 14136-1452
Phone
(716) 934-4518
Fax
(716) 934-7443
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 222824 NY Primary

Addresses

Primary practice location

113 Main St
Silver Creek, NY 14136-1452

Mailing address

113 Main St
Silver Creek, NY 14136-1452
Phone (716) 934-4518

Other identifiers 2

IdentifierTypeStateIssuer
02202977MedicaidNY
110229680OtherNYRAILROAD MEDICARE

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
I20100331000255 NY Practitioner - Internal Medicine 0547396392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seneca Nation of IndiansGroup PAC ID 8123920592, 29 clinicians

Practice addresses (Care Compare)

275 Thomas Indian School Dr
Irving, NY 14081-9341
Phone (716) 532-5582

Hospital & facility affiliations

  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Nation of Indians CurrentSince Jan 29, 2018 Accepting new patients
Barnes Primary Care Associates, P.C. Internal Medicine Current Accepting new patients
General Physician, PC CurrentSince Sep 1, 2011 Accepting new patients
Seneca Nation of Indians CurrentSince Jan 29, 2018 Accepting new patients

Locations

826 Lake St
Angola, NY 14006
Phone (716) 549-7777

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

275 Thomas Indian School Dr
Irving, NY 14081
Phone (716) 532-5582

987 R C Hoag Dr
Salamanca, NY 14779
Phone (716) 945-5894

113 Main St
Silver Creek, NY 14136
Phone (716) 934-4518

Organizations & group practices 4

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 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1336242387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MAIN ST",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "141361452",
            "telephone_number": "716-934-4518",
            "fax_number": "716-934-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAIN ST",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "141361452",
            "telephone_number": "716-934-4518",
            "fax_number": "716-934-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTERNAN",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "222824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02202977",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110229680",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Creek, NY

Sources for this page

Verify at the official NPI Registry.