NPIMap

Individual provider Active NPI

Christian David Lates, M.D.

  • Internal Medicine Physician
  • Elma, NY
National Provider Identifier
1649279191
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201701 Issued in NY
Practice address
2741 Transit Rd
Elma, NY 14059-9634
Phone
(716) 677-6060
Fax
(716) 677-6078
NPI assigned
Jul 18, 2005
Last updated
Nov 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201701 NY Primary

Addresses

Primary practice location

2741 Transit Rd
Elma, NY 14059-9634

Mailing address

6255 Sheridan Dr
Suite 304
Williamsville, NY 14221-4836
Phone (716) 857-8666

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
I20110124000604 NY Practitioner - Internal Medicine 9234318254 Reassigns benefits to 2 organizations

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
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

2701 Transit
Suite 144
Elma, NY 14059-9032
Phone (716) 253-6005

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Mar 5, 2018 Accepting new patients
Buffalo Medical Group, P.C. Internal Medicine CurrentSince Oct 18, 2010 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Oct 18, 2010 Accepting new patients

Locations

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

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

2701 Transit Rd
Ste 143144
Elma, NY 14059
Phone (716) 253-6005

2741 Transit Rd
Elma, NY 14059
Phone (716) 668-1902

6255 Sheridan Dr
Ste 304
Williamsville, NY 14221
Phone (716) 857-8666

Interoperability endpoints

  • Direct secure messaging: clates@gppc.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1649279191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 SHERIDAN DR",
            "address_2": "SUITE 304",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214836",
            "telephone_number": "716-857-8666",
            "fax_number": "716-630-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 TRANSIT RD",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599634",
            "telephone_number": "716-677-6060",
            "fax_number": "716-677-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATES",
        "first_name": "CHRISTIAN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, NY

Sources for this page

Verify at the official NPI Registry.