Peter Kinkel
Individual provider Active NPI Neurological Surgery Physician · Williamsville, NY
NPI 1831152701 · NPPES record last updated Oct 24, 2012
Key facts
- NPI
- 1831152701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 144507 (NY)
- Practice address
- 5 Limestone Dr
Suite B
Williamsville, NY 14221-7178 - Phone
- (716) 632-9399
- Fax
- (716) 632-7742
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.95 of 100
- Quality
- 84
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040728001624 | NY | Practitioner - Neurosurgery |
0749177830 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 144507 | NY | Yes |
Addresses
Primary practice location
5 Limestone Dr
Suite B
Williamsville, NY 14221-7178
Mailing address
908 Niagara Falls Blvd
Suite 208
North Tonawanda, NY 14120-2019
Phone (716) 692-3302
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000525431011 | Other | BLUE SHIELD OF WESTERN NY | |
| 000525431012 | Other | BLUE SHIELD OF WESTERN NY | |
| 1525351W | Other | NY | WORKERS COMPENSATION |
| 050701000002 | Other | FIDELIS | |
| 1605752 | Other | INDEPENDENT HEALTH | |
| 00903993 | Medicaid | NY |
Other providers in Williamsville, NY
- Lisa May King
- Sandra Ann King
- Jennifer Nicole Kingcade
- Sean Martin Kings
- Kinkel Neurologic Center, LLP
- Victoria Kinney
- Kaitlyn Kirst
- Kimberley Kissel
- Vladlen Kivovich
- Jennifer Kladke
All providers in Williamsville, NY · Neurological Surgery Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.