NPIMap

Individual provider Active NPI

Amy Lynn Wnek, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Orchard Park, NY
National Provider Identifier
1871547463
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
225912-1 Issued in NY
Practice address
3675 Southwestern Blvd
Orchard Park, NY 14127-1732
Phone
(716) 972-0279
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 225912-1 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 225912-1 NY Primary

Addresses

Primary practice location

3675 Southwestern Blvd
Orchard Park, NY 14127-1732

Mailing address

3675 Southwestern Blvd
Orchard Park, NY 14127-1732
Phone (716) 972-0279

Other identifiers 4

IdentifierTypeStateIssuer
000526813003OtherNYBC/BS OF WNY HMO
041450OtherNYINDEPENDENT HEALTH NY HMO
02312783MedicaidNY
00026006603OtherNYUNIVERA HEALTHCARE NY HMO

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
I20050810000552 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 4981633054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southgate Medical Group LLPGroup PAC ID 7911810189, 31 clinicians

Practice addresses (Care Compare)

1026 Union Rd
West Seneca, NY 14224-3445
Phone (716) 712-0851

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Bertrand Chaffee Hospital Hospital, Springville, NY, CCN 330111
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225912-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southgate Medical Group,LLP Internal Medicine CurrentSince Jun 2, 2021 Accepting new patients

Locations

1026 Union Rd
West Seneca, NY 14224
Phone (716) 712-0851

Interoperability endpoints

  • Direct secure messaging: awnek@smg.medentdirect.com

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1871547463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271732",
            "telephone_number": "716-972-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271732",
            "telephone_number": "716-972-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WNEK",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225912-1",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "225912-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WNY  HMO",
            "identifier": "000526813003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH NY HMO",
            "identifier": "041450",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02312783",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE NY HMO",
            "identifier": "00026006603",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.