Active NPI
Peter G Adrian, M.D.
- Hospitalist Physician
- Williamsville, NY
National Provider Identifier
1831154525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 163675
- Practice address
- 11 Kingswaye Dr
Williamsville, NY 14221-1703 - Phone
- (716) 208-1825
- Fax
- (716) 304-1605
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 163675 | NY | Primary |
Addresses
Primary practice location
11 Kingswaye Dr
Williamsville, NY 14221-1703
Mailing address
11 Kingswaye Dr
Williamsville, NY 14221-1703
Phone (716) 208-1825
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01650531 | Medicaid | NY | |
| INDEPENDENT HEALTH | Other | NY | 0490636 |
| 00020048003 | Other | NY | UNIVERA |
| 11121387 | Other | NY | CAQH UNIVERSAL CREDENTIALING |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163675 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elder Medical Services PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Cheektowaga, NY
- NPI 1740388719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1831154525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 KINGSWAYE DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142211703",
"telephone_number": "716-208-1825",
"fax_number": "716-304-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 KINGSWAYE DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142211703",
"telephone_number": "716-208-1825",
"fax_number": "716-304-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADRIAN",
"first_name": "PETER",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "163675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01650531",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0490636",
"identifier": "INDEPENDENT HEALTH",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00020048003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH UNIVERSAL CREDENTIALING",
"identifier": "11121387",
"state": "NY"
}
],
"endpoints": [],
"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 Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.