SOUTHTOWNS FAMILY PRACTICE PC
NPI 1588965743
Family Medicine in Hamburg, NY

Active since November 04, 2010CLIA 33D2017702 · Waiver
3040 AMSDELL RD, HAMBURG, NY 14075(716) 646-6700(716) 646-8515 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southtowns Family Practice Pc NPPES

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

SOUTHTOWNS FAMILY PRACTICE PC (NPI 1588965743) is a healthcare organization registered as a family medicine in Hamburg, New York and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Craig K Maclean, President, as its authorized official.

NPPES Registry Identity

NPI1588965743
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHTOWNS FAMILY PRACTICE PC
Location Address3040 AMSDELL RDHamburg, NY 14075-5835
Mailing Address3040 Amsdell RdHamburg, NY 14075-5835 · (716) 646-6700 · Fax (716) 646-8515
Fax(716) 646-8515
Organization SubpartNo
Authorized OfficialCraig K MacleanPresident · (716) 432-7760
Enumeration DateNovember 4, 2010
Last NPPES UpdateMay 17, 2016
✔ NPI 1588965743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3040 AMSDELL RD, Hamburg, NY 14075

Other Identifiers 2

Medicaid03299805NY
Medicare PINJ100038618

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southtowns Family Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Southtowns Family Practice 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 (8)

Nurse Practitioner
NPI 1629268909
3040 AMSDELL RD ATTN: CREDENTIALING
Hamburg, NY 14075
(716) 646-6700
✔ PECOSSame address
Family Practice
NPI 1780047241
3040 AMSDELL RD
Hamburg, NY 14075
(716) 646-6700
✔ PECOSSame address
Family Practice
NPI 1588667893
3040 AMSDELL RD
Hamburg, NY 14075
(716) 646-6700
✔ PECOSSame address
Family Practice
NPI 1336584820
3040 AMSDELL RD
Hamburg, NY 14075
(716) 646-6700
✔ PECOSSame address
Family Practice
NPI 1093394579
3040 AMSDELL RD
Hamburg, NY 14075
(716) 646-6700
✔ PECOSSame address
Nurse Practitioner
NPI 1770904195
701 SENECA ST STE 646C
Buffalo, NY 14210
(716) 995-4450
✔ PECOS✔ Accepts Medicare9.7 mi
Nurse Practitioner
NPI 1932417334
155 LAWN AVE
Buffalo, NY 14207
(716) 875-2904
✔ PECOS15 mi
Family Practice
NPI 1518928290
8750 TRANSIT RD
East Amherst, NY 14051
(716) 688-7344
✔ PECOS21 mi

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

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 33D2017702

Southtowns Family Practice, PC · Hamburg, NY
Active · expires Dec 15, 2026
CLIA Number33D2017702
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorDr. Craig K. Maclean
Laboratory Phone(716) 646-6700
Laboratory LocationSouthtowns Family Practice, PC3040 Amsdell Road, Suite 207 C, Hamburg, NY 14075
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Southtowns Family Practice PC's NPI number?

The NPI number for Southtowns Family Practice PC is 1588965743. It was assigned to this organization in the NPPES registry on November 4, 2010.

Where is Southtowns Family Practice PC located?

Southtowns Family Practice PC is located at 3040 Amsdell Rd, Hamburg, NY 14075. The listed phone number is (716) 646-6700.

What is Southtowns Family Practice PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Southtowns Family Practice PC enrolled in Medicare?

Yes. Southtowns Family Practice PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southtowns Family Practice PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Southtowns Family Practice 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 Family Practice (5) and Nurse Practitioner (3). 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.

Does Southtowns Family Practice PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2017702) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southtowns Family Practice PC was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.