NPIMap

Individual provider Active NPI

Michael Joseph Krabak, MD

  • Hematology & Oncology Physician
  • Williamsville, NY
National Provider Identifier
1578557302
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
218067 Issued in NY
Practice address
199 Park Club LN Ste 200
Williamsville, NY 14221-5269
Phone
(716) 634-3340
Fax
(716) 634-3350
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 218067 NY Primary

Addresses

Primary practice location

199 Park Club LN Ste 200
Williamsville, NY 14221-5269

Mailing address

3041 Orchard Park Rd Ste C
Att: Credentialing
Orchard Park, NY 14127-1238
Phone (716) 674-3104

Other identifiers 1

IdentifierTypeStateIssuer
02129082MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000147 NY Practitioner - Internal Medicine 9537341326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1994
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
Suite 200
Williamsville, NY 14221-5269
Phone (716) 634-3340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.41 of 100Reported as individual
Quality
39.17
Promoting interoperability
0
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218067NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saif Soniwala,M.D.,PC Hematology & Oncology CurrentSince Jan 16, 2017 Accepting new patients
Rpci Oncology PC Hematology & Oncology CurrentSince Jan 16, 2017 Accepting new patients
Century Medical Associates PC Hematology & Oncology Current Accepting new patients

Locations

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

45 Spindrift Dr
Ste 100
Williamsville, NY 14221
Phone (716) 422-5422

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 11

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1578557302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 ORCHARD PARK RD STE C",
            "address_2": "ATT: CREDENTIALING",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271238",
            "telephone_number": "716-674-3104",
            "fax_number": "716-674-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 PARK CLUB LN STE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215269",
            "telephone_number": "716-634-3340",
            "fax_number": "716-634-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRABAK",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "218067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02129082",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.