Active NPI
Douglas Michael Sirkin, M.D.
- Diagnostic Radiology Physician
- Tonawanda, NY
National Provider Identifier
1588946503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 101861
- Practice address
- 2441 Sheridan Dr
Tonawanda, NY 14150-9405 - Phone
- (716) 836-8700
- NPI assigned
- Sep 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Vivo & In Vitro Nuclear Medicine Physician | 207UN0903X | 101861 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 101861 | NY | Primary |
Addresses
Primary practice location
2441 Sheridan Dr
Tonawanda, NY 14150-9405
Mailing address
259 Troy del Way
Williamsville, NY 14221-3306
Phone (716) 864-4087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101861 | NY | MD | In Vivo & In Vitro Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amar Atwal, MD PC | Past | Accepting new patients | |
| Amar Atwal, MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Cheektowaga, NY
- NPI 1013982727
-
- Durable Medical Equipment & Medical Supplies
- Williamsville, NY
- NPI 1073661831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1588946503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 TROY DEL WAY",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213306",
"telephone_number": "716-864-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 SHERIDAN DR",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141509405",
"telephone_number": "716-836-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRKIN",
"first_name": "DOUGLAS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0903X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
"state": "NY",
"license": "101861",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "101861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.