Golam Mostafa Waris, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

296648 Issued in NY

Practice address

2200 Genesee St
Buffalo, NY 14211-1924

Phone

(313) 891-5437

Fax

(313) 891-0842

NPI assigned

Jun 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Latina Medical Office PCGroup PAC ID 8022112499, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Latina Medical Office, P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1992854855
  Medicare reassignment Care Compare group NPD
• Wny Medical Care, PLLC

  • General Practice Physician
  • Buffalo, NY
  • NPI 1902756729
  Medicare reassignment NPD Authorized official
• Buffalo Medical Care PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1013660471
  NPD

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1770528267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 OSBORNE RD STE E",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315588907",
            "telephone_number": "912-510-3420",
            "fax_number": "912-510-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142111924",
            "telephone_number": "313-891-5437",
            "fax_number": "313-891-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARIS",
        "first_name": "GOLAM",
        "middle_name": "MOSTAFA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "296648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4670900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda L Ware, CNA
• Rita V Ware, CASAC
• Terrill Lee Ware, BA
• Amanda Wareham, MSN, PMHNP-BC
• Sarah A Waring, PA
• Hussein A Waris
• Reiss Warmingham, ATC
• Andrew W Warner, MD
• Jillian Warner Sr., MS
• Joseph Warner, MS, ATC

• Internal Medicine Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.