NPIMap

Individual provider Active NPI

Michael Robert Dlugosz, M.D.

  • Family Medicine Physician
  • Williamsville, NY
National Provider Identifier
1881987683
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
266420 Issued in NY
Practice address
6255 Sheridan Dr Ste 200
Williamsville, NY 14221-4825
Phone
(716) 636-7979
Fax
(716) 929-0192
NPI assigned
May 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 266420 NY Primary

Addresses

Primary practice location

6255 Sheridan Dr Ste 200
Williamsville, NY 14221-4825

Mailing address

6255 Sheridan Dr Ste 200
Williamsville, NY 14221-4825
Phone (716) 636-7979

Other identifiers 1

IdentifierTypeStateIssuer
03949424MedicaidNY

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
I20131210001391 NY Practitioner - Family Practice 7214179076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buffalo Hearing and Speech Center, IncGroup PAC ID 4183818370, 43 clinicians
Highgate Medical Group PCGroup PAC ID 6901885565, 58 clinicians

Practice addresses (Care Compare)

50 E N St
Buffalo, NY 14203-1002
Phone (716) 885-8318

6255 Sheridan Dr
Williamsville, NY 14221-4825
Phone (716) 636-7979

Hospital & facility affiliations

  • Amedisys Home Health Care (Amherst) Home health agency, Williamsville, NY, CCN 337248
  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Hospice Buffalo Inc Hospice, Cheektowaga, NY, CCN 331502
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Garden Gate Health Care Facility Nursing home, Cheektowaga, NY, CCN 335634

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19
Removal or shaving of skin growth11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highgate Medical Group Current Accepting new patients
Highgate Medical Group Family Medicine CurrentSince Aug 1, 2014 Accepting new patients
Garden Gate Health Care Facility LLC Past Accepting new patients

Locations

3950 E Robinson Rd
Ste 305
West Amherst, NY 14228

1150 Youngs Rd
Ste 104
Williamsville, NY 14221
Phone (716) 636-7979

6255 Sheridan Dr
Ste 200
Williamsville, NY 14221
Phone (716) 636-7979

6255 Sheridan Dr
Williamsville, NY 14221
Phone (716) 857-8666

Interoperability endpoints

  • Direct secure messaging: mdlugosz@highgatemedical.medentdirect.com

Organizations & group practices 4

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 12

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1881987683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 SHERIDAN DR STE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214825",
            "telephone_number": "716-636-7979",
            "fax_number": "716-929-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 SHERIDAN DR STE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214825",
            "telephone_number": "716-636-7979",
            "fax_number": "716-929-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DLUGOSZ",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "266420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03949424",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.