Active NPI
Dmitry Koulikov, M.D.
- Urology Physician
- Buffalo, NY
National Provider Identifier
1740531821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- P85101
- Practice address
- Elm and Carlton St
Buffalo, NY 14263-0001 - Phone
- (716) 845-2300
- Fax
- (716) 845-8773
- NPI assigned
- Sep 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | P85101 | NY | Primary |
Addresses
Primary practice location
Elm and Carlton St
Buffalo, NY 14263-0001
Mailing address
40 Rambling Rd
East Amherst, NY 14051-1328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P85101 | NY | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1740531821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 RAMBLING RD",
"city": "EAST AMHERST",
"state": "NY",
"postal_code": "140511328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ELM AND CARLTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142630001",
"telephone_number": "716-845-2300",
"fax_number": "716-845-8773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOULIKOV",
"first_name": "DMITRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-28",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "P85101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.