Individual provider Active NPI

Michael S Parkot, PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • Buffalo, NY
National Provider Identifier
1548217979
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
010393-1 Issued in NY
Practice address
2157 Main St
Buffalo, NY 14214-2648
Phone
(716) 204-4500
Fax
(716) 204-4501
NPI assigned
May 30, 2006
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0103931 NY
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 10393 NY
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 010393-1 NY Primary

Addresses

Primary practice location

2157 Main St
Buffalo, NY 14214-2648

Mailing address

6654 Main St
Williamsville, NY 14221-5906
Phone (716) 204-4500

Other identifiers 2

IdentifierTypeStateIssuer
1548217979MedicaidNY
02651509MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mparkot94057@direct.urmc.rochester.edu Direct
Direct Messaging Address mparkot94057@direct.urmc.rochester.edu Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000588 NY Practitioner - Physician Assistant 2466496872 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
010393-1NYMDEmergency Medical Services (Emergency Medicine) Physician
10393NYMDEmergency Medical Services (Emergency Medicine) Physician
0103931NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Immediate Medical Care LLC CurrentSince Aug 2, 2009 Accepting new patients
Wyoming County CurrentSince Feb 20, 2016 Accepting new patients
Wyoming County Emergency Medicine Current Accepting new patients
Western New York Immediate Medical Care LLC Emergency Medicine CurrentSince Aug 2, 2009 Accepting new patients
Cayuga Emergency Physicians, LLP Emergency Medicine CurrentSince Aug 1, 2009 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Nov 1, 2019 Accepting new patients
Wyoming County County of Wyoming CurrentSince Feb 20, 2016 Accepting new patients
United Memorial Medical Center CurrentSince May 1, 2014 Accepting new patients
Nicholas H. Noyes Memorial Hospital CurrentSince May 15, 2012 Accepting new patients

Locations

75 Remit Dr
Chicago, IL 60675

2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

73 Buffalo St
Ste 100
Canandaigua, NY 14424

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

50 E South St
Geneseo, NY 14454
Phone (585) 243-5109

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1548217979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6654 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215906",
            "telephone_number": "716-204-4500",
            "fax_number": "716-204-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142648",
            "telephone_number": "716-204-4500",
            "fax_number": "716-204-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKOT",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "0103931",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "10393",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "010393-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548217979",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02651509",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mparkot94057@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mparkot94057@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.