Individual provider Active NPI

Michael John Cipolla, M.D.

  • Otolaryngology Physician
  • Orchard Park, NY
National Provider Identifier
1841450137
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
265808-1 Issued in NY
Practice address
3670 South Benzing Rd
Suite C
Orchard Park, NY 14127
Phone
(716) 675-5711
Fax
(716) 675-1358
NPI assigned
Jun 11, 2008
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 265808-1 NY Primary

Addresses

Primary practice location

3670 South Benzing Rd
Suite C
Orchard Park, NY 14127

Mailing address

3670 South Benzing Rd
Suite C
Orchard Park, NY 14127
Phone (716) 675-5711

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140120000255 NY Practitioner - Otolaryngology 1355579384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Ear, Nose and Throat, P.C.Group PAC ID 5193762235, 9 clinicians

Practice addresses (Care Compare)

3670 S Benzing Rd
Suite C
Orchard Park, NY 14127-1741
Phone (716) 675-5711

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
265808-1NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Ear, Nose & Throat, P.C. CurrentSince Jul 1, 2013 Accepting new patients
Southtowns Surgery Center LLC CurrentSince Nov 14, 2023 Accepting new patients

Locations

726 Exchange St
Ste 200
Buffalo, NY 14210

260 Red Tail Rd
Orchard Park, NY 14127
Phone (716) 675-5711

3670 S Benzing Rd
Ste C
Orchard Park, NY 14127
Phone (716) 675-5711

5959 Big Tree Rd
Ste 100
Orchard Park, NY 14127

6255 Sheridan Dr
Ste 108
Williamsville, NY 14221
Phone (716) 630-1219

Interoperability endpoints

  • Direct secure messaging: drmike@wnyent.medentdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1841450137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 SOUTH BENZING RD",
            "address_2": "SUITE C",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-675-5711",
            "fax_number": "716-675-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 SOUTH BENZING RD",
            "address_2": "SUITE C",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-675-5711",
            "fax_number": "716-675-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLLA",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "265808-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.