GENERAL PHYSICIAN, PC
NPI 1003566233
Clinic/Center in Ellicottville, NY
About General Physician, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENERAL PHYSICIAN, PC (NPI 1003566233), doing business as Olean Medical Group, is a healthcare organization registered as a clinic/center in Ellicottville, New York and active in the NPI registry since March 2022. The organization holds 3 active CLIA laboratory certificates and lists Tabitha Abraham, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
General Physician, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
81Medicare enrollment records show 81 clinicians reassign Medicare billing to General Physician, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 81Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2323534
General Physician PC · Olean, NYCertificate of Waiver 33D1021989
General Physician PC · Ellicottville, NYCertificate of Waiver 33D2192492
General Physician PC Dba Great Lakes Cardiology · Olean, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is General Physician, PC's NPI number?
The NPI number for General Physician, PC is 1003566233. It was assigned to this organization in the NPPES registry on March 29, 2022. The provider is doing business as Olean Medical Group.
Where is General Physician, PC located?
General Physician, PC is located at 6133 Route 219 S Ste 1006, Ellicottville, NY 14731. The listed phone number is (716) 699-4332.
What is General Physician, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is General Physician, PC enrolled in Medicare?
Yes. General Physician, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through General Physician, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 81 clinicians in 14 Medicare specialties reassign their Medicare billing to General Physician, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (39), Nurse Practitioner (18) and Family Practice (6). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does General Physician, PC hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for General Physician, PC was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# General Physician, Pc · NPI 1003566233
Clinic/Center organization in Ellicottville, New York. Organization record, active in the CMS NPPES registry since March 29, 2022.
## Identity
- **NPI:** 1003566233 (Entity type: Organization)
- **Enumerated:** March 29, 2022
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Olean Medical Group (Doing Business As)
- **Organization subpart:** Yes (part of Kaleida Health)
- **Authorized official:** Tabitha Abraham, DIRECTOR
## Practice location
- **Address:** 6133 ROUTE 219 S STE 1006, Ellicottville, NY 14731-9613
- **Phone:** (716) 699-4332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 81 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (39), Nurse Practitioner (18), Family Practice (6); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1003566233/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2026
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003566233) · Data from the CMS NPPES public registry.