Active NPI
Jeffrey J Visco, M.D.
- Colon & Rectal Surgery Physician
- Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 229881-1
- Practice address
- 4955 N Bailey Ave
Suite 205
Amherst, NY 14226 - Phone
- (716) 857-8751
- Fax
- (716) 961-2225
- NPI assigned
- Jan 11, 2006
- 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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 229881-1 | NY | Primary |
Addresses
Primary practice location
4955 N Bailey Ave
Suite 205
Amherst, NY 14226
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-5782
Phone (716) 630-1219
Other practice location 1
3900 N. Buffalo Road
Orchard Park, NY 14221
Phone (716) 857-8751
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00026906501 | Other | NY | UNIVERA |
| 161000580 | Other | NY | EMPIRE PLAN |
| 161000580 | Other | NY | NORTH AMERICAN PREFERRED |
| 1412674 | Other | NY | IHA |
| 2588374 | Medicaid | NY | |
| 000527799001 | Other | NY | HEALTH NOW |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- State University of New York at Buffalo School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 884-3000
1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600
3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266
888 Ctr Rd
West Seneca, NY 14224-2218
Phone (716) 636-9004
Hospital & facility affiliations
- Vna of Western Ny Chha
- Kaleida Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 280 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229881-1 | NY | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Current | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients | |
| Buffalo Surgery Center LLC | Past | Accepting new patients |
Locations
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
888 Center Rd
West Seneca, NY 14224
Phone (716) 675-3530
111 N Maplemere Rd
Ste 150
Williamsville, NY 14221
Phone (716) 626-2644
Interoperability endpoints
- jvisco@gppc.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.
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1881659506
-
- Ambulatory Surgical Clinic/Center
- Amherst, NY
- NPI 1508863242
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1730268384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1902885601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ESSJAY RD STE 170",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215782",
"telephone_number": "716-630-1219",
"fax_number": "716-817-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 N BAILEY AVE",
"address_2": "SUITE 205",
"city": "AMHERST",
"state": "NY",
"postal_code": "14226",
"telephone_number": "716-857-8751",
"fax_number": "716-961-2225"
}
],
"practiceLocations": [
{
"address_1": "3900 N. Buffalo Road",
"address_purpose": "LOCATION",
"city": "Orchard Park",
"state": "NY",
"postal_code": "14221",
"country_code": "US",
"telephone_number": "716-857-8751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VISCO",
"first_name": "JEFFREY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NY",
"license": "229881-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026906501",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN",
"identifier": "161000580",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH AMERICAN PREFERRED",
"identifier": "161000580",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "1412674",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2588374",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW",
"identifier": "000527799001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.