Individual provider Active NPI

David L Crooks, MD

  • Surgery Physician
  • Williamsville, NY
National Provider Identifier
1376615492
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
296535 Issued in NY
Practice address
199 Park Club LN Ste 100
Williamsville, NY 14221-5269
Phone
(716) 332-6834
Fax
(716) 332-6856
NPI assigned
Nov 14, 2006
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 296535 NY Primary

Addresses

Primary practice location

199 Park Club LN Ste 100
Williamsville, NY 14221-5269

Mailing address

3041 Orchard Park Rd Ste C
Orchard Park, NY 14127-1238
Phone (716) 674-3104

Other identifiers 1

IdentifierTypeStateIssuer
001595543MedicaidPA

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
I20190422001527 NY Practitioner - General SurgeryPractitioner - Surgical Oncology 0648218339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rpci Oncology, PCGroup PAC ID 3870731029, 62 clinicians

Practice addresses (Care Compare)

199 Park Club LN
Williamsville, NY 14221-5269

21 Porter Ave
Jamestown, NY 14701-6247
Phone (716) 664-1909

3041 Orchard Park Rd
Suite C
Orchard Park, NY 14127-1238
Phone (716) 674-3104

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy22
Melanoma (skin cancer) excision14
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saif Soniwala,M.D.,PC Current Accepting new patients
Pinnacle Health Medical Services Surgery Current Accepting new patients
Rpci Oncology PC Surgery CurrentSince Mar 2, 2020 Accepting new patients
Tidalhealth Physician Network, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nanticoke Surgical Associates, P.a. Surgery Past Accepting new patients

Locations

21 Porter Ave
Jamestown, NY 14701
Phone (716) 487-2880

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

199 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 332-6834

199 Park Club Ln
Ste 200
Williamsville, NY 14221
Phone (716) 634-3340

361 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 249-1211

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Interoperability endpoints

  • Direct secure messaging: dcrooks@breastcarewny.medentdirect.com

Organizations & group practices 6

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.

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1376615492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 ORCHARD PARK RD STE C",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271238",
            "telephone_number": "716-674-3104",
            "fax_number": "716-674-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 PARK CLUB LN STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215269",
            "telephone_number": "716-332-6834",
            "fax_number": "716-332-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKS",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "296535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001595543",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.