DR. NIELS ULRICH GOTHGEN M.D.
NPI 1508952573
Internal Medicine - Critical Care Medicine in Buffalo, NY

Q: What is Niels Gothgen's NPI number?

The NPI number for Niels Gothgen is 1508952573. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Niels Gothgen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Niels Gothgen was last updated on September 21, 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.

Active since October 05, 2006PECOS Enrolled

50 LAKEFRONT BLVD, SUITE 130, BUFFALO, NY 14202(716) 849-8750(716) 849-8757 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Niels Ulrich Gothgen M.d. NPPES

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

DR. NIELS ULRICH GOTHGEN M.D. (NPI 1508952573) is an individual critical care medicine provider in Buffalo, New York, licensed in New York (241874) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1508952573

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. NIELS ULRICH GOTHGENCredential: M.D.

Location Address50 LAKEFRONT BLVD, SUITE 130Buffalo, NY 14202-4345

Mailing Address50 Lakefront Blvd, Suite 130Buffalo, NY 14202-4345 · (716) 849-8750 · Fax (716) 849-8757

Phone(716) 849-8750

Fax(716) 849-8757

Sole ProprietorYes

Enumeration DateOctober 5, 2006

Last NPPES UpdateSeptember 21, 2021

NPPES CertifiedSeptember 21, 2021

✔ NPI 1508952573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in NY · 241874

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 241874 (NY)

Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 241874 (NY)

50 LAKEFRONT BLVD, Buffalo, NY 14202

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Secondary Practice Location 1

Location 1Elm and Carlton StBuffalo, NY 14263-1426 · Phone (716) 845-2300

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Niels Ulrich Gothgen M.d. 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

Medicare enrollment records show Niels Gothgen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roswell Park Cancer Institute

1.5 mi

Multi-Specialty

ELM AND CARLTON ST
Buffalo, NY 14263

Reassigned Medicare billing, New York enrollment
602 clinicians in this Medicare group

NPI 1720036593 (716) 845-2300

Niagara Falls Memorial Medical Center

17 mi

General Acute Care Hospital

621 10TH ST
Niagara Falls, NY 14302

Reassigned Medicare billing, New York enrollment
Also billed through NPI 1982659256 (New York)
156 clinicians in this Medicare group

NPI 1285717298 (716) 278-4000

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

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services18 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

22 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14202 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

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 17

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

MS. KEIRA SIOBHAN MCCARTHY NP

Nurse Practitioner (Adult Health)

50 LAKEFRONT BLVD
BUFFALO, NY 14202

Erie County (716) 929-3225

MRS. SHANNON D MARZULLO ANP

Nurse Practitioner (Adult Health)