SURGICAL ASSOCIATES OF WESTERN NY PC
NPI 1275588600
Surgery in West Seneca, NY

Active since May 24, 2006
550 ORCHARD PARK RD, A103, WEST SENECA, NY 14224(716) 677-5500(716) 677-5008 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Surgical Associates Of Western Ny Pc NPPES

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

SURGICAL ASSOCIATES OF WESTERN NY PC (NPI 1275588600) is a healthcare organization registered as a surgery in West Seneca, New York and active in the NPI registry since May 2006. The organization lists Rurik Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1275588600
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGICAL ASSOCIATES OF WESTERN NY PC
Location Address550 ORCHARD PARK RD, A103West Seneca, NY 14224-2646
Mailing Address550 Orchard Park Rd Ste A103West Seneca, NY 14224-2654 · (716) 677-5500 · Fax (716) 677-5008
Fax(716) 677-5008
Organization SubpartNo
Authorized OfficialRurik JohnsonPresident · (716) 677-5500
Enumeration DateMay 24, 2006
Last NPPES UpdateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1275588600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
550 ORCHARD PARK RD, West Seneca, NY 14224

Other Identifiers 2

Other00502623001NY · Blue Cross & Blue Shield
Medicaid01226342NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgical Associates Of Western Ny Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20050803000122Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Surgical Associates Of Western Ny PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

General Surgery
NPI 1003058520
550 ORCHARD PARK RD STE A103
West Seneca, NY 14224
(716) 677-5500
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1437513728
550 ORCHARD PARK RD STE A103
West Seneca, NY 14224
(716) 677-5500
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1770577330
550 ORCHARD PARK RD A103
West Seneca, NY 14224
(716) 677-5500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639433170
550 ORCHARD PARK RD A103
West Seneca, NY 14224
(716) 677-5500
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1760495824
550 ORCHARD PARK RD A103
West Seneca, NY 14224
(716) 677-5500
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1427026327
550 ORCHARD PARK RD STE A103
West Seneca, NY 14224
(716) 677-5500
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Surgical Associates Of Western Ny PC's NPI number?

The NPI number for Surgical Associates Of Western Ny PC is 1275588600. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Surgical Associates Of Western Ny PC located?

Surgical Associates Of Western Ny PC is located at 550 Orchard Park Rd A103, West Seneca, NY 14224. The listed phone number is (716) 677-5500.

What is Surgical Associates Of Western Ny PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Surgical Associates Of Western Ny PC enrolled in Medicare?

Yes. Surgical Associates Of Western Ny PC is registered in the Medicare PECOS enrollment system.

When is Surgical Associates Of Western Ny PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Surgical Associates Of Western Ny PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Surgical Associates Of Western Ny 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 General Surgery (5) and Nurse Practitioner (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Surgical Associates Of Western Ny PC was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.