Individual provider Active NPI

Thomas John Cumbo, MD

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1396737532
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
103661 Issued in NY
Practice address
354 Lincoln Pkwy
Buffalo, NY 14216-3121
Phone
(716) 873-8311
Fax
(716) 447-9152
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 103661 NY Primary
Infectious Disease Physician 207RI0200X 103661 NY

Addresses

Primary practice location

354 Lincoln Pkwy
Buffalo, NY 14216-3121

Mailing address

354 Lincoln Pkwy
Buffalo, NY 14216-3121
Phone (716) 873-8311

Other identifiers 1

IdentifierTypeStateIssuer
00677770MedicaidNY

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
I20070412000244 NY Practitioner - Internal MedicinePractitioner - Infectious Disease 7416052972 Reassigns benefits to 1 organization
Practice locations: Williamsville, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Feb 1, 2016 Accepting new patients
T. Anthony Cumbo MD PLLC Infectious Disease Past Accepting new patients

Locations

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

1150 Youngs Rd
Ste 207
Williamsville, NY 14221
Phone (716) 688-1480

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1396737532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 LINCOLN PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163121",
            "telephone_number": "716-873-8311",
            "fax_number": "716-447-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 LINCOLN PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163121",
            "telephone_number": "716-873-8311",
            "fax_number": "716-447-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBO",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "103661",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "103661",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00677770",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.