WESTERN NEW YORK DERMATOLOGY, PLLC
NPI 1083030498
Specialist in Williamsville, NY
About Western New York Dermatology, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTERN NEW YORK DERMATOLOGY, PLLC (NPI 1083030498) is a healthcare organization registered as a specialist in Williamsville, New York and active in the NPI registry since March 2014. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Williamsville, and lists Beverly Wittmeyer, Business Manager/consultant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 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)
Western New York Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Western New York Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (13)
Williamsville, NY 14221
Williamsville, NY 14221
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 2
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) 33D2177762
Western New York Dermatology, PLLC · Williamsville, NYCertificate of Compliance 33D2320163
Western New York Dermatology PLLC · Williamsville, 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 Western New York Dermatology, PLLC's NPI number?
The NPI number for Western New York Dermatology, PLLC is 1083030498. It was assigned to this organization in the NPPES registry on March 10, 2014.
Where is Western New York Dermatology, PLLC located?
Western New York Dermatology, PLLC is located at 297 Spindrift Dr, Williamsville, NY 14221. The listed phone number is (716) 831-2600.
What is Western New York Dermatology, PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Western New York Dermatology, PLLC enrolled in Medicare?
Yes. Western New York Dermatology, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Western New York Dermatology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Western New York Dermatology, PLLC. 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 Nurse Practitioner (9), Dermatology (2) and Pathology (1). Of these, 8 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Western New York Dermatology, PLLC hold CLIA laboratory certificates?
Yes. 2 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 Western New York Dermatology, PLLC was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Western New York Dermatology, Pllc · NPI 1083030498
Specialist organization in Williamsville, New York. Organization record, active in the CMS NPPES registry since March 10, 2014.
## Identity
- **NPI:** 1083030498 (Entity type: Organization)
- **Enumerated:** March 10, 2014
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Beverly Wittmeyer, BUSINESS MANAGER/CONSULTANT
## Practice location
- **Address:** 297 SPINDRIFT DR, Williamsville, NY 14221-7894
- **Phone:** (716) 831-2600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Dermatology (2), Pathology (1); 8 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2020
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083030498) · Data from the CMS NPPES public registry.