Individual provider Active NPI

Alan David Bolnick, MD

  • Maternal & Fetal Medicine Physician
  • West Seneca, NY
National Provider Identifier
1629074901
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
255575 Issued in NY
Practice address
3050 Orchard Park Rd
West Seneca, NY 14224-4658
Phone
(716) 675-5222
Fax
(716) 675-9329
NPI assigned
Jun 22, 2005
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12119 NV
Obstetrics & Gynecology Physician 207V00000X 4301102380 MI
Reproductive Endocrinology Physician 207VE0102X 255575 NY
Maternal & Fetal Medicine Physician 207VM0101X 12119 NV
Maternal & Fetal Medicine Physician 207VM0101X 255575 NY Primary
Maternal & Fetal Medicine Physician 207VM0101X 4301102380 MI

Addresses

Primary practice location

3050 Orchard Park Rd
West Seneca, NY 14224-4658

Mailing address

3050 Orchard Park Rd
West Seneca, NY 14224-4658
Phone (716) 766-5222

Other practice location 1

4845 Transit Rd
Depew, NY 14043-4783
Phone (716) 766-5222

Other identifiers 1

IdentifierTypeStateIssuer
1639239221OtherNYGROUP

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
I20130502000137 NY Practitioner - Obstetrics/Gynecology 0143204693 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians
General Physician PCGroup PAC ID 9537213079, 488 clinicians
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 862-1000

239 Bryant St
Buffalo, NY 14222-2006
Phone (716) 878-7737

3050 Orchard Park Rd
West Seneca, NY 14224-4658
Phone (716) 675-5222

5320 Military Rd
Suite 106
Lewiston, NY 14092-2149
Phone (716) 220-7670

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as group
Quality
87.72
Promoting interoperability
100
Improvement activities
40
Cost
75.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255575NYMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Nov 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 1, 2020 Accepting new patients
General Physician, PC CurrentSince Jan 1, 2020 Accepting new patients
Trinity Medical Wny PC CurrentSince Dec 27, 2022 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jul 29, 2016 Accepting new patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Nov 1, 2020 Accepting new patients
Trinity Medical Wny PC CurrentSince Dec 27, 2022 Accepting new patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Trinity Medical Wny PC Obstetrics & Gynecology Current Accepting new patients
Kaleida Health CurrentSince May 27, 2017 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
Kaleida Health Current Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 1, 2020 Accepting new patients
Kenmore Mercy Hospital Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Kaleida Health CurrentSince May 27, 2017 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

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

100 High St
#13282
Buffalo, NY 14203

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

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

239 Bryant St
Buffalo, NY 14222
Phone (716) 878-7655

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

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

4845 Transit Rd
Depew, NY 14043
Phone (716) 656-2200

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

5320 Military Rd
Ste 106
Lewiston, NY 14092
Phone (716) 298-5433

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

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

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

Interoperability endpoints

  • Direct secure messaging: abolnick@ogcwny.medentdirect.com

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1629074901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244658",
            "telephone_number": "716-766-5222",
            "fax_number": "716-675-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244658",
            "telephone_number": "716-675-5222",
            "fax_number": "716-675-9329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 Transit Rd",
            "address_purpose": "LOCATION",
            "city": "Depew",
            "state": "NY",
            "postal_code": "140434783",
            "country_code": "US",
            "telephone_number": "716-766-5222",
            "fax_number": "716-675-9329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLNICK",
        "first_name": "ALAN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "12119",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301102380",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "255575",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NV",
            "license": "12119",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "255575",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "4301102380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1639239221",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.