Individual provider Active NPI

William J. Flynn, M.D.

  • Surgery Physician
  • Buffalo, NY
National Provider Identifier
1578586293
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
161806 Issued in NY
Practice address
462 Grider St
Dept of Surgery
Buffalo, NY 14215-3021
Phone
(716) 898-5186
Fax
(716) 898-3194
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 161806 NY Primary
Trauma Surgery Physician 2086S0127X 161806 NY

Addresses

Primary practice location

462 Grider St
Dept of Surgery
Buffalo, NY 14215-3021

Mailing address

PO Box 8000 Dept 313
University at Buffalo Surgeons, Inc
Buffalo, NY 14267-0002
Phone (716) 888-4889

Other identifiers 1

IdentifierTypeStateIssuer
01260851MedicaidNY

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
I20050822000042 NY Practitioner - General Surgery 2961490578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northwestern University Feinberg Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University at Buffalo Surgeons IncGroup PAC ID 4183612799, 40 clinicians

Practice addresses (Care Compare)

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161806NYMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erie County Medical Center Corporation CurrentSince Aug 1, 2005 Accepting new patients
Erie County Medical Center Corporation CurrentSince Aug 1, 2005 Accepting new patients
Ub Family Medicine, Inc Family Medicine Current Accepting new patients
Kaleida Health CurrentSince Nov 2, 2016 Accepting new patients
University at Buffalo Surgeons Inc Surgery CurrentSince Oct 1, 2002 Accepting new patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Kaleida Health CurrentSince Nov 2, 2016 Accepting new patients
Kaleida Health Current Accepting new patients
General Physician, PC PastSince Jun 6, 2017 Accepting new patients
Academic Medicine Services, Inc. Past Accepting new patients
Erie County Medical Center Corporation Past Accepting new patients

Locations

100 High St
#13282
Buffalo, NY 14203

100 High St
Fl 7
Buffalo, NY 14203
Phone (716) 898-6515

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

100 High St
#D3
Buffalo, NY 14203
Phone (716) 859-1168

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

338 Harris Hill Rd
Ste 207
Williamsville, NY 14221

Interoperability endpoints

  • Direct secure messaging: williamflynn@ubmd.allscriptsdirect.net

Organizations & group practices 11

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 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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1578586293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000 DEPT 313",
            "address_2": "UNIVERSITY AT BUFFALO SURGEONS, INC",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "716-888-4889",
            "fax_number": "716-849-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "DEPT OF SURGERY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-5186",
            "fax_number": "716-898-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "161806",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NY",
            "license": "161806",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01260851",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.