1. Home
  2. Directory
  3. New York
  4. Batavia
  5. Internal Medicine
  6. NPI Profile

SHOUKRI MINA WISA MD
NPI 1306895370
Internal Medicine - Hematology & Oncology in Batavia, NY

Active since May 08, 2006PECOS Enrolled
164 WASHINGTON AVE, BATAVIA, NY 14020(585) 343-6363(585) 343-1986 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 28, 2021, Feb 3, 2020 (2 updates tracked since 2020).

About Shoukri Mina Wisa Md NPPES

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

SHOUKRI MINA WISA MD (NPI 1306895370) is an individual hematology & oncology provider in Batavia, New York, licensed in New York (170527) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1306895370
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameSHOUKRI MINA WISACredential: MD
Location Address164 WASHINGTON AVEBatavia, NY 14020-2113
Mailing Address164 Washington AveBatavia, NY 14020-2113 · (585) 343-6363 · Fax (585) 343-1986
Phone(585) 343-6363
Fax(585) 343-1986
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1306895370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NY · 170527
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 1705271 (NY)
164 WASHINGTON AVE, Batavia, NY 14020
Open in Google Maps ↗

Secondary Practice Locations 5

Location 12300 Buffalo Rd Bldg 800Rochester, NY 14624-1360 · Phone (585) 368-6370 · Fax (585) 368-6371
Location 21100 Long Pond Rd Ste 250Rochester, NY 14626-1186 · Phone (585) 368-4350 · Fax (585) 227-7324
Location 31561 Long Pond Rd Ste 202Rochester, NY 14626-4135 · Phone (585) 723-7778 · Fax (585) 723-7925
Location 41561 Long Pond Rd Ste 303Rochester, NY 14626-4135 · Phone (585) 368-6500 · Fax (585) 368-6501
Location 51455 E Ridge RdRochester, NY 14621-2006 · Phone (585) 922-4882 · Fax (585) 922-5822

Other Identifiers 1

Medicaid01127086NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shoukri Mina Wisa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Shoukri Wisa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Memorial Medical Center
0.4 mi
Hematology & Oncology
127 NORTH ST, SECOND FLOOR
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1508260704 (585) 344-5252
Western New York Medical Practice PC
18 mi
Obstetrics & Gynecology
121 S MAIN ST
Warsaw, NY 14569
  • Reassigned Medicare billing, New York enrollment
  • 1,030 clinicians in this Medicare group
NPI 1306214689 (585) 786-8350
The Unity Hospital Of Rochester
25 mi
Clinical Medical Laboratory
160 ELMGROVE PARK
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1720471246 (585) 426-1234
Rochester General Hospital
26 mi
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1174990303 (585) 922-3100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PATRICIA BONCZYK NP
Nurse Practitioner (Adult Health)
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 343-6363
OLGA GRISELLE EDWARDS
Specialist/Technologist, Health Information
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 344-5331
MRS. RACHEL COSIMENO RN
Registered Nurse
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 344-5331
MEGAN K BORING
Clinical Exercise Physiologist
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 344-5331
DR. COLLEEN ANN NUGENT M.D
Pediatrics (Pediatric Gastroenterology)
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 250-4132
MARY E TRAXLER GNP
Nurse Practitioner
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 343-6363
MARY SIOBHAN BRODERICK RN, CDCES
Registered Nurse (Diabetes Educator)
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 344-5331
JADRIENE BALDUF RN, IBCLC, CCE
Registered Nurse (Lactation Consultant)
164 WASHINGTON AVE
BATAVIA, NY 14020
Genesee County (585) 344-5331

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 Shoukri Wisa's NPI number?

The NPI number for Shoukri Wisa is 1306895370. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Shoukri Wisa located?

Shoukri Wisa practices at 164 Washington Ave, Batavia, NY 14020. The listed phone number is (585) 343-6363.

What is Shoukri Wisa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Shoukri Wisa enrolled in Medicare?

Yes. Shoukri Wisa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shoukri Wisa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shoukri Wisa reassigns Medicare benefits to 4 organizations: United Memorial Medical Center (Batavia, NY), Western New York Medical Practice PC (Warsaw, NY), The Unity Hospital Of Rochester (Rochester, NY) and Rochester General Hospital (Rochester, NY). Each 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 Shoukri Wisa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shoukri Wisa was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.