NPIMap

Individual provider Active NPI

Adam S Kotowski, MD

  • Hematology & Oncology Physician
  • Williamsville, NY
National Provider Identifier
1992813828
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
249101 Issued in NY
Practice address
199 Park Club LN
Suite 200
Williamsville, NY 14221-5269
Phone
(716) 634-3340
Fax
(716) 634-3350
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 249101 NY
Hematology & Oncology Physician 207RH0003X 249101 NY Primary

Addresses

Primary practice location

199 Park Club LN
Suite 200
Williamsville, NY 14221-5269

Mailing address

3041 Orchard Park Rd Ste C
Orchard Park, NY 14127-1238
Phone (716) 674-3104

Other practice location 1

3041 Orchard Park Rd
Orchard Park, NY 14127-1238
Phone (716) 674-3104

Other identifiers 1

IdentifierTypeStateIssuer
03413467MedicaidNY

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
I20120227000365 NY Practitioner - Hematology/OncologyPractitioner - Hematology 3476711136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematology
Education
State University of New York at Buffalo School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Bloodcare IncGroup PAC ID 0547306847, 6 clinicians
Rpci Oncology, PCGroup PAC ID 3870731029, 62 clinicians

Practice addresses (Care Compare)

1010 Main St
Suite 300
Buffalo, NY 14202-1102
Phone (716) 218-4014

199 Park Club LN
Williamsville, NY 14221-5269

Hospital & facility affiliations

  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Roswell Park Cancer Institute Hospital, Buffalo, NY, CCN 330354
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102

Merit-based Incentive Payment System (MIPS)

Final score
28.44 of 100Reported as individual
Quality
41.42
Promoting interoperability
0
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249101NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rpci Oncology PC Hematology & Oncology CurrentSince Nov 1, 2014 Accepting new patients
Saif Soniwala,M.D.,PC Hematology & Oncology Current Accepting new patients
Western New York Bloodcare, Inc. CurrentSince Aug 1, 2012 Accepting new patients

Locations

1010 Main St
Ste 300
Buffalo, NY 14202
Phone (716) 218-4014

199 Park Club Ln
Ste 200
Williamsville, NY 14221
Phone (716) 634-3340

Organizations & group practices 3

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 11

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1992813828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 ORCHARD PARK RD STE C",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271238",
            "telephone_number": "716-674-3104",
            "fax_number": "716-674-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 PARK CLUB LN",
            "address_2": "SUITE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215269",
            "telephone_number": "716-634-3340",
            "fax_number": "716-634-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3041 Orchard Park Rd",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271238",
            "country_code": "US",
            "telephone_number": "716-674-3104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTOWSKI",
        "first_name": "ADAM",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "249101",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "249101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03413467",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.