Individual provider Active NPI

William Ivan Buniak, DO

  • Gastroenterology Physician
  • Liverpool, NY
National Provider Identifier
1699235648
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
337198 Issued in NY
Practice address
5112 W Taft Rd Ste H
Liverpool, NY 13088-4991
Phone
(315) 410-7499
Fax
(315) 410-7490
NPI assigned
Mar 24, 2019
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Gastroenterology Physician 207RG0100X 337198 NY Primary

Addresses

Primary practice location

5112 W Taft Rd Ste H
Liverpool, NY 13088-4991

Mailing address

5112 W Taft Rd Ste H
Liverpool, NY 13088-4991
Phone (315) 452-3235

Other practice location 1

240 Meeting House Ln
Southampton, NY 11968-5009
Phone (631) 726-8200

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
I20250724001998 NY Practitioner - Gastroenterology 4385151497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology and Hepatology of Central New York, PCGroup PAC ID 3072505411, 27 clinicians

Practice addresses (Care Compare)

5112 W Taft Rd
Suite H
Liverpool, NY 13088-4866
Phone (315) 452-3235

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy99
Upper gastrointestinal (GI) endoscopy for acid reflux65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337198NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology & Hepatology of Central New York, PC Gastroenterology CurrentSince Jul 1, 2025 Accepting new patients
Digestive Disease Center of Central New York, LLC Current Accepting new patients

Locations

5112 W Taft Rd
Ste H
Liverpool, NY 13088
Phone (315) 452-3235

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

Hospital & facility affiliations 5

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": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1699235648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD STE H",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884991",
            "telephone_number": "315-452-3235",
            "fax_number": "315-452-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD STE H",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884991",
            "telephone_number": "315-410-7499",
            "fax_number": "315-410-7490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Meeting House Ln",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119685009",
            "country_code": "US",
            "telephone_number": "631-726-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNIAK",
        "first_name": "WILLIAM",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-24",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "337198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.