Individual provider Active NPI

Darryl Charles Daniel Wenner, D.O.

  • Family Medicine Physician
  • Springville, NY
National Provider Identifier
1568757169
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
269910 Issued in NY
Practice address
224 E Main St
Springville, NY 14141-1443
Phone
(716) 592-2871
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Hospitalist Physician 208M00000X 269910 NY
Family Medicine Physician 207Q00000X 269910 NY Primary

Addresses

Primary practice location

224 E Main St
Springville, NY 14141-1443

Mailing address

6075 Poplar Ave
Suite 401
Memphis, TN 38119-4740
Phone (716) 863-7948

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
I20140208000281 NY Practitioner - Family Practice 1759510076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bertrand Chaffee HospitalGroup PAC ID 0840273496, 32 clinicians

Practice addresses (Care Compare)

224 E Main St
Springville, NY 14141-1443
Phone 71659228711202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
44.64
Improvement activities
40
Cost
90.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269910NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bertrand Chaffee Hospital CurrentSince Jul 7, 2019 Accepting new patients
Keystone Medical Services of New York, PC CurrentSince Jan 1, 2014 Accepting new patients
Medical Services of Buffalo, PC Hospitalist CurrentSince Jul 1, 2019 Accepting new patients

Locations

521 East Ave
Lockport, NY 14094
Phone (716) 434-9111

224 E Main St
Springville, NY 14141
Phone (716) 592-2871

6075 Poplar Ave
Ste 401
Memphis, TN 38119
Phone (901) 795-3600

Interoperability endpoints

  • Direct secure messaging: darryl_wenner@yourcarecommunity.org
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/a7b918c3-56d9-410c-bec6-e3d86fde3f92

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1568757169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 POPLAR AVE",
            "address_2": "SUITE 401",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194740",
            "telephone_number": "716-863-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E MAIN ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141411443",
            "telephone_number": "716-592-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNER",
        "first_name": "DARRYL",
        "middle_name": "CHARLES DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "269910",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "269910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, NY

Sources for this page

Verify at the official NPI Registry.