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WINSTON G DOUGLAS MD PC
NPI 1043528409
Family Medicine in Buffalo, NY

Active since September 20, 2010CLIA 33D1019650 · Waiver
755 WEHRLE DR, BUFFALO, NY 14225(716) 884-8033(716) 342-2523 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2023, Dec 2, 2020 (2 updates tracked since 2020).

About Winston G Douglas Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WINSTON G DOUGLAS MD PC (NPI 1043528409) is a healthcare organization registered as a family medicine in Buffalo, New York and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through November 23, 2027 and lists Winston G Douglas, Owner, as its authorized official.

NPPES Registry Identity

NPI1043528409
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWINSTON G DOUGLAS MD PC
Location Address755 WEHRLE DRBuffalo, NY 14225-1319
Mailing Address755 Wehrle DrBuffalo, NY 14225-1319 · (716) 884-8033 · Fax (716) 906-3133
Phone(716) 884-8033
Fax(716) 342-2523
Organization SubpartNo
Authorized OfficialWinston G DouglasOwner · (716) 884-8033
Enumeration DateSeptember 20, 2010
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1043528409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
755 WEHRLE DR, Buffalo, NY 14225
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Other Identifiers 1

Medicaid03308216NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Winston G Douglas Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Winston G Douglas MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Winston Douglas, MD
Internal Medicine
NPI 1548297328
840 HUMBOLDT PKWY
Buffalo, NY 14211
(716) 884-8033
✔ PECOS✔ Accepts Medicare5.0 mi

Source: 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

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 of Waiver 33D1019650

Winston G Douglas MD PC · Buffalo, NY
Active · expires Nov 23, 2027
CLIA Number33D1019650
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2025
Certificate Expiration DateNovember 23, 2027
Laboratory DirectorDr. Winston G. Douglas
Laboratory Phone(716) 884-8033
Laboratory LocationWinston G Douglas MD PC755 Wehrle Drive, Buffalo, NY 14225
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Winston G Douglas MD PC's NPI number?

The NPI number for Winston G Douglas MD PC is 1043528409. It was assigned to this organization in the NPPES registry on September 20, 2010.

Where is Winston G Douglas MD PC located?

Winston G Douglas MD PC is located at 755 Wehrle Dr, Buffalo, NY 14225. The listed phone number is (716) 884-8033.

What is Winston G Douglas MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Winston G Douglas MD PC enrolled in Medicare?

Yes. Winston G Douglas MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Winston G Douglas MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Winston G Douglas MD 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Winston G Douglas MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1019650) is associated with this NPI, valid through November 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Winston G Douglas MD PC was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.