Individual provider Active NPI

Jaspinderpal Singh Bhullar

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1487275749
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
324731 Issued in NY
Practice address
1430 Colvin Blvd
Buffalo, NY 14223-1440
Phone
(716) 874-4060
NPI assigned
Apr 28, 2020
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 324731 NY Primary

Addresses

Primary practice location

1430 Colvin Blvd
Buffalo, NY 14223-1440

Mailing address

2466 King Fisher LN
Niagara Falls, NY 14304-4678
Phone (716) 930-3358

Other practice location 1

6934 Williams Rd Ste 200
Niagara Falls, NY 14304-3080
Phone (716) 297-8260

Other practice location 2

621 10th St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000

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
I20230825001103 NY Practitioner - Family Practice 2961865811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

1430 Colvin Blvd
Buffalo, NY 14223-1440
Phone (716) 874-4060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Sep 1, 2023 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Sep 1, 2024 Accepting new patients

Locations

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

6934 Williams Rd
Niagara Falls, NY 14304
Phone (716) 298-5800

6934 Williams Rd
Ste 200
Niagara Falls, NY 14304
Phone (716) 297-8260

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

1430 Colvin Blvd
Tonawanda, NY 14223
Phone (716) 874-4060

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
  • Direct secure messaging: jbhullar@gppc.medentdirect.com

Organizations & group practices 3

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 8

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": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1487275749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 KING FISHER LN",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044678",
            "telephone_number": "716-930-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 COLVIN BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231440",
            "telephone_number": "716-874-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6934 Williams Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143043080",
            "country_code": "US",
            "telephone_number": "716-297-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 10th St",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143011813",
            "country_code": "US",
            "telephone_number": "716-278-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHULLAR",
        "first_name": "JASPINDERPAL",
        "middle_name": "SINGH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "324731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.