ENDOSCOPY CENTER OF WESTERN NEW YORK LLC
NPI 1063419513
Clinic/Center - Ambulatory Surgical in Williamsville, NY
About Endoscopy Center Of Western New York Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENDOSCOPY CENTER OF WESTERN NEW YORK LLC (NPI 1063419513) is a healthcare organization registered as an ambulatory surgical in Williamsville, New York and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Pat Graham, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Endoscopy Center Of Western New York Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Endoscopy Center Of Western New York LLC, which bills Medicare for the services they deliver. Of these, 15 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 29Source: 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 33D1017756
Endoscopy Center Of Western New York LLC · Williamsville, NYAreas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Endoscopy Center Of Western New York LLC's NPI number?
The NPI number for Endoscopy Center Of Western New York LLC is 1063419513. It was assigned to this organization in the NPPES registry on June 30, 2005.
Where is Endoscopy Center Of Western New York LLC located?
Endoscopy Center Of Western New York LLC is located at 60 Maple Rd Suite 2, Williamsville, NY 14221. The listed phone number is (716) 332-1000.
What is Endoscopy Center Of Western New York LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Endoscopy Center Of Western New York LLC enrolled in Medicare?
Yes. Endoscopy Center Of Western New York LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Endoscopy Center Of Western New York LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 2 Medicare specialties reassign their Medicare billing to Endoscopy Center Of Western New York LLC. 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 Certified Registered Nurse Anesthetist (CRNA) (26) and Anesthesiology (3). Of these, 15 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Endoscopy Center Of Western New York LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1017756) is associated with this NPI, valid through March 26, 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 Endoscopy Center Of Western New York LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Endoscopy Center Of Western New York Llc · NPI 1063419513
Ambulatory Surgical organization in Williamsville, New York. Organization record, active in the CMS NPPES registry since June 30, 2005.
## Identity
- **NPI:** 1063419513 (Entity type: Organization)
- **Enumerated:** June 30, 2005
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Pat Graham, ADMINISTRATOR
## Practice location
- **Address:** 60 MAPLE RD, SUITE 2, Williamsville, NY 14221-2917
- **Phone:** (716) 332-1000 · **Fax:** (716) 204-4549
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (26), Anesthesiology (3); 15 practice within 10 miles; [full list](https://npiprofile.com/npi/1063419513/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 4, 2025
- **Other identifiers:** Other 63056; Other 465 (NY); Medicaid 02578949 (NY); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063419513) · Data from the CMS NPPES public registry.