NPIMap

Individual provider Active NPI

Daniel Trock, M.D.

  • Family Medicine Physician
  • Williamsville, NY
National Provider Identifier
1639134885
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
222142 Issued in NY
Practice address
1150 Youngs Rd
Suite 104
Williamsville, NY 14221-8053
Phone
(716) 636-7979
Fax
(716) 636-7993
NPI assigned
Apr 19, 2006
Last updated
Jul 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 222142 NY Primary

Addresses

Primary practice location

1150 Youngs Rd
Suite 104
Williamsville, NY 14221-8053

Mailing address

1150 Youngs Rd
Suite 104
Williamsville, NY 14221-8053
Phone (716) 636-7979

Other identifiers 1

IdentifierTypeStateIssuer
02174050MedicaidNY

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
I20051107000522 NY Practitioner - Family Practice 4880612019 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

144 Genesee St
Buffalo, NY 14203-1560

5290 Military Rd
Suite 8
Lewiston, NY 14092-1953
Phone (716) 298-3000

5300 Military Rd
Lewiston, NY 14092-1903
Phone (716) 297-4800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Feb 1, 2017 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 1, 2020 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Nov 1, 2020 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Nov 1, 2020 Accepting new patients
Trinity Medical Wny PC CurrentSince Jul 23, 2020 Accepting new patients
Trinity Medical Wny PC CurrentSince Jul 23, 2020 Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 1, 2020 Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Mount St. Mary's Hospital of Niagara Falls Past Accepting new patients

Locations

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

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

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

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

2950 Elmwood Ave
Ste A1
Kenmore, NY 14217
Phone (716) 529-3070

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: dtrock20307@direct.chsbuffalo.org

Organizations & group practices 10

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 6

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1639134885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE 104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218053",
            "telephone_number": "716-636-7979",
            "fax_number": "716-636-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE 104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218053",
            "telephone_number": "716-636-7979",
            "fax_number": "716-636-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROCK",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "222142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02174050",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.