NPIMap

Individual provider Active NPI

Kimberly Joanne Wilkins, MD

  • Family Medicine Physician
  • Tonawanda, NY
National Provider Identifier
1851825442
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
307267 Issued in NY
Practice address
2465 Sheridan Dr
Tonawanda, NY 14150-9407
Phone
(716) 816-7228
NPI assigned
Apr 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 307267 NY Primary

Addresses

Primary practice location

2465 Sheridan Dr
Tonawanda, NY 14150-9407

Mailing address

2465 Sheridan Dr
Tonawanda, NY 14150-9407

Other practice location 1

462 Grider St Fl 9
Buffalo, NY 14215-3098
Phone (716) 898-3198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110002547 NY Practitioner - Family Practice 8921345364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ub Family Medicine IncGroup PAC ID 1658361381, 37 clinicians

Practice addresses (Care Compare)

2465 Sheridan Dr
Tonawanda, NY 14150-9407
Phone (716) 835-9800

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307267NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Erie County Medical Center Corporation CurrentSince Oct 22, 2020 Accepting new patients
University Emergency Medical Services Inc. Current Accepting new patients
Erie County Medical Center Corporation CurrentSince Oct 22, 2020 Accepting new patients
Ub Family Medicine, Inc Family Medicine CurrentSince Nov 15, 2020 Accepting new patients
Kaleida Health Past Accepting new patients
Erie County Medical Center Corporation Past Accepting new patients

Locations

77 Goodell St
Ste 240
Buffalo, NY 14203
Phone (716) 816-7228

462 Grider St
Fl 9
Buffalo, NY 14215
Phone (716) 898-3198

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

2465 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 835-9800

850 Hopkins Rd
Williamsville, NY 14221
Phone (716) 639-8358

Interoperability endpoints

  • Direct secure messaging: kimberlywilkins@ubmd.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1851825442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509407",
            "telephone_number": "716-816-7228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Grider St Fl 9",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142153098",
            "country_code": "US",
            "telephone_number": "716-898-3198",
            "fax_number": "716-898-3415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "KIMBERLY",
        "middle_name": "JOANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "307267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.