Individual provider Active NPI

Hartwig O Boepple, M.D.

  • Pulmonary Disease Physician
  • Williamsville, NY
National Provider Identifier
1568426344
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
1313091 Issued in NY
Practice address
100 College Pkwy
Suite 110
Williamsville, NY 14221-6800
Phone
(716) 631-8863
Fax
(716) 631-1265
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 1313091 NY Primary

Addresses

Primary practice location

100 College Pkwy
Suite 110
Williamsville, NY 14221-6800

Mailing address

100 College Pkwy
Suite 110
Williamsville, NY 14221-6800
Phone (716) 631-8863

Other identifiers 1

IdentifierTypeStateIssuer
00788207MedicaidNY

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
I20040907001079 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9537147160 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1976
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

Hospital & facility affiliations

  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1313091NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Park Cancer Institute CurrentSince Jan 6, 2025 Accepting new patients
Pulmonary Group of Western New York, LLP Pulmonary Disease CurrentSince Jul 1, 1993 Accepting new patients
Roswell Park Cancer Institute CurrentSince Jan 6, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Mar 10, 2010 Accepting new patients
Rpci Oncology PC Pulmonary Disease CurrentSince Aug 5, 2024 Accepting new patients
Saif Soniwala,M.D.,PC Current Accepting new patients

Locations

Dept 8000
Buffalo, NY 14267

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

Elm and Carlton St
Buffalo, NY 14263

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

5842 Snyder Dr
Lockport, NY 14094
Phone (716) 434-0195

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

100 College Pkwy
Ste 110
Williamsville, NY 14221
Phone (716) 631-8863

2699 Wehrle Dr
Williamsville, NY 14221
Phone (716) 631-8863

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

8600 Sheridan Dr
Williamsville, NY 14221
Phone (716) 632-1282

Interoperability endpoints

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

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1568426344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLLEGE PKWY",
            "address_2": "SUITE 110",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216800",
            "telephone_number": "716-631-8863",
            "fax_number": "716-631-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE PKWY",
            "address_2": "SUITE 110",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216800",
            "telephone_number": "716-631-8863",
            "fax_number": "716-631-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEPPLE",
        "first_name": "HARTWIG",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "1313091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00788207",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.