NPIMap

Individual provider Active NPI

David Cipolla, M.D.

  • Diagnostic Radiology Physician
  • Williamsville, NY
National Provider Identifier
1740422708
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
237994-1 Issued in NY
Practice address
111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3178
Phone
(716) 836-4646
Fax
(716) 836-4696
NPI assigned
Apr 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 237994-1 NY Primary

Addresses

Primary practice location

111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3178

Mailing address

111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3178
Phone (716) 836-4646

Other identifiers 1

IdentifierTypeStateIssuer
03192261MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090708000014 PA Practitioner - Diagnostic Radiology 5597816330 Reassigns benefits to 1 organization
I20100827000185 NY Practitioner - Diagnostic Radiology 5597816330 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Radiology Associates LLCGroup PAC ID 3072402296, 27 clinicians
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians
Bradford Radiology PCGroup PAC ID 5890198840, 21 clinicians
Great Lakes Medical Imaging LLCGroup PAC ID 2163681859, 42 clinicians
Olean Medical Practice PLLCGroup PAC ID 0042698045, 56 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 332-8078

116 Interstate Pkwy
Bradford, PA 16701-1036
Phone (814) 368-4143

3085 Harlem Rd
Suite 150
Cheektowaga, NY 14225-2593
Phone (716) 844-5300

3850 Saunders Settlement Rd
Sanborn, NY 14132-9128
Phone (716) 898-2840

515 Main St
Olean, NY 14760-1513
Phone (716) 373-2600

535 Main St
Suite 1
Olean, NY 14760-1500
Phone (716) 372-0141

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Olean General Hospital Hospital, Olean, NY, CCN 330103
  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Erie County Medical Center Hospital, Buffalo, NY, CCN 330219

Merit-based Incentive Payment System (MIPS)

Final score
45.23 of 100Reported as group
Quality
27.79
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olean Medical Practice PLLC Current Accepting new patients
General Physician, PC CurrentSince Oct 1, 2024 Accepting new patients
Western New York Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients
Great Lakes Medical Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2012 Accepting new patients
Olean Radiology, PC Diagnostic Radiology CurrentSince Oct 15, 2020 Accepting new patients
General Physician, PC CurrentSince Oct 1, 2024 Accepting new patients
Advanced Digestive Care P a Past Accepting new patients
Lakeside Imaging, LLC Diagnostic Radiology Past Accepting new patients
Main Line Health Imaging LP Diagnostic Radiology Past Accepting new patients
Radiology Associates of the Main Line P C Diagnostic Radiology Past Accepting new patients

Locations

156 West Ave
Brockport, NY 14420
Phone (585) 395-6095

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

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

3085 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 844-5000

3085 Harlem Rd
Ste 150
Cheektowaga, NY 14225
Phone (716) 844-5300

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

535 Main St
Olean, NY 14760
Phone (716) 372-0141

535 Main St
Ste 1
Olean, NY 14760
Phone (716) 372-0141

515 Main St
Olean, NY 14760
Phone (716) 373-2600

500 Sterling Dr
#2
Orchard Park, NY 14127

5959 Big Tree Rd
Ste 105
Orchard Park, NY 14127
Phone (716) 256-1114

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

3850 Saunders Settlement Rd
Ste 150
Sanborn, NY 14132

1116 Arsenal St
Ste 504
Watertown, NY 13601
Phone (315) 782-2669

111 N Maplemere Rd
Ste 120
Williamsville, NY 14221
Phone (716) 836-4646

199 Park Club Ln
Ste 300
Williamsville, NY 14221
Phone (716) 332-8074

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1740422708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N MAPLEMERE RD STE 120",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213178",
            "telephone_number": "716-836-4646",
            "fax_number": "716-836-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAPLEMERE RD STE 120",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213178",
            "telephone_number": "716-836-4646",
            "fax_number": "716-836-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLLA",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "237994-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03192261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.