Organization Active NPI

Compassionate Medical Care of Wny PLLC

  • Family Medicine Physician
  • Amherst, NY
National Provider Identifier
1669023610
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPASSIONATE MEDICAL CARE OF WNY PLLC
Practice address
656 N French Rd Ste 4
Amherst, NY 14228-2104
Phone
(716) 529-3777
Fax
(716) 529-3778
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Michael Slater, MDNPI 1962451666
Title
Sole Owner
Phone
(716) 289-6550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

656 N French Rd Ste 4
Amherst, NY 14228-2104

Mailing address

656 N French Rd Ste 4
Amherst, NY 14228-2104
Phone (716) 529-3777

Other practice location 1

2625 Delaware Ave Ste 103
Buffalo, NY 14216-1705
Phone (716) 529-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200127001000 NY Part B Supplier - Clinic/Group Practice 9739514464 Receives reassigned benefits from 7 practitioners
Practice locations: Amherst, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2159672Compassionate Medical Care of Wny PLLC656 N French Road - Ste 4, Amherst, NY 14228Certificate of waiverDec 20, 2026

National Provider Directory

National Provider Directory

Locations

656 N French Rd
Ste 4
Buffalo, NY 14228
Phone (716) 529-3777

2625 Delaware Ave
Ste 103
Buffalo, NY 14216
Phone (716) 529-3777

275 Northpointe Pkwy
Ste 50
Buffalo, NY 14228
Phone (716) 389-3294

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1669023610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 N FRENCH RD STE 4",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282104",
            "telephone_number": "716-529-3777",
            "fax_number": "716-529-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 N FRENCH RD STE 4",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282104",
            "telephone_number": "716-529-3777",
            "fax_number": "716-529-3778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 Delaware Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142161705",
            "country_code": "US",
            "telephone_number": "716-529-3777",
            "fax_number": "716-529-3778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASSIONATE MEDICAL CARE OF WNY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "716-289-6550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.