Active NPI
Charles Wiles, MD
- Surgical Critical Care Physician
- Buffalo, NY
National Provider Identifier
1861482986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- D0024285
- Practice address
- 462 Grider St
DK Miller Building Miller BLDG.
Buffalo, NY 14215-3021 - Phone
- (716) 898-5103
- Fax
- (716) 898-3194
- NPI assigned
- Oct 28, 2005
- 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 |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | D0024285 | MD | Primary |
Addresses
Primary practice location
462 Grider St
DK Miller Building Miller BLDG.
Buffalo, NY 14215-3021
Mailing address
462 Grider St
DK Miller Building
Buffalo, NY 14215-3021
Phone (716) 898-5186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03037203 | Medicaid | NY |
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 |
|---|---|---|---|
| D0024285 | MD | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore Washington Medical Center Inc. | 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.
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1831378868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1861482986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"address_2": "DK MILLER BUILDING",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153021",
"telephone_number": "716-898-5186",
"fax_number": "716-898-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"address_2": "DK MILLER BUILDING MILLER BLDG.",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153021",
"telephone_number": "716-898-5103",
"fax_number": "716-898-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILES",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MD",
"license": "D0024285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03037203",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.