Active NPI
Gerald Rajish Jeyapalan, M.D.
- Otolaryngology Physician
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 4301090369
- Practice address
- 295 Essjay Rd
Williamsville, NY 14221-8216 - Phone
- (716) 630-1283
- Fax
- (716) 250-5928
- NPI assigned
- Jun 25, 2007
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 4301090369 | MI | Primary |
Addresses
Primary practice location
295 Essjay Rd
Williamsville, NY 14221-8216
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1219
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | production@direct.buffalomedicalgroup.com | Buffalo Medical Group, P.C. |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- State University of New York at Buffalo School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
295 Essjay Rd
Williamsville, NY 14221-8216
Phone (716) 630-1000
Hospital & facility affiliations
- Sisters of Charity Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301090369 | MI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Otolaryngology | Current | Accepting new patients |
Locations
85 High St
Buffalo, NY 14203
Phone (716) 857-8623
3900 N Buffalo St
Orchard Park, NY 14127
Phone (716) 630-1112
6255 Sheridan Dr
Ste 304
Williamsville, NY 14221
Phone (716) 857-8666
425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219
295 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1050
Interoperability endpoints
- gjeyapalan3801@direct.buffalomedicalgroup.com
- production@direct.buffalomedicalgroup.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1881659506
Otolaryngology
-
- Durable Medical Equipment & Medical Supplies
- Lockport, NY
- NPI 1982566782
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1801092937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ESSJAY RD STE 170",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218235",
"telephone_number": "716-630-1219",
"fax_number": "716-817-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 ESSJAY RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218216",
"telephone_number": "716-630-1283",
"fax_number": "716-250-5928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEYAPALAN",
"first_name": "GERALD",
"middle_name": "RAJISH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MI",
"license": "4301090369",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "production@direct.buffalomedicalgroup.com",
"affiliation": "Y",
"affiliationName": "Buffalo Medical Group, P.C.",
"address_1": "295 Essjay Rd",
"city": "Williamsville",
"state": "NY",
"country_code": "US",
"postal_code": "142218216",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.