Individual provider Active NPI

Scott Wilkowski, MPAS RPA-C

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1740502301
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
013868 Issued in NY
Practice address
297 Spindrift Dr Ste 100
Williamsville, NY 14221-7894
Phone
(716) 631-8863
NPI assigned
Feb 24, 2010
Last updated
Feb 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 013868 NY Primary

Addresses

Primary practice location

297 Spindrift Dr Ste 100
Williamsville, NY 14221-7894

Mailing address

14 Windcroft LN
Lancaster, NY 14086-9360
Phone (716) 681-5933

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100421000059 NY Practitioner - Physician Assistant 1153458302 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University at Buffalo Pediatric Associates IncGroup PAC ID 1355235540, 13 clinicians

Practice addresses (Care Compare)

1404 Sweet Home Rd
Buffalo, NY 14228-2778
Phone (716) 932-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Immediate Medical Care LLC CurrentSince Dec 4, 2014 Accepting new patients
Kaleida Health CurrentSince Jan 3, 2026 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Aug 9, 2021 Accepting new patients
Kaleida Health CurrentSince Jan 3, 2026 Accepting new patients
Rpci Oncology PC Past Accepting new patients

Locations

2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273

1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

Interoperability endpoints

  • Direct secure messaging: swilkowski@pedsurgentcare.medentdirect.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1740502301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WINDCROFT LN",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140869360",
            "telephone_number": "716-681-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 SPINDRIFT DR STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217894",
            "telephone_number": "716-631-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKOWSKI",
        "first_name": "SCOTT",
        "credential": "MPAS  RPA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.