Active NPI
David L Crooks, MD
- Surgery Physician
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 296535
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001595543 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 22 |
| Melanoma (skin cancer) excision | 14 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saif Soniwala,M.D.,PC | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Surgery | Current | Accepting new patients |
| Rpci Oncology PC | Surgery | Current | 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
- 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.
-
dba Breast Care of Western New York
- Hematology & Oncology Physician
- Williamsville, NY
- NPI 1952703985
Surgery
-
- Hematology & Oncology Physician
- Williamsville, NY
- NPI 1114061942
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Surgery Physician
- Seaford, DE
- NPI 1972649556
-
- Family Medicine Physician
- Seaford, DE
- NPI 1467534636
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1548315401
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.