SHERIDAN DRIVE MEDICAL GROUP LLP
NPI 1679684625
Internal Medicine in Tonawanda, NY
About Sheridan Drive Medical Group Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHERIDAN DRIVE MEDICAL GROUP LLP (NPI 1679684625) is a healthcare organization registered as an internal medicine in Tonawanda, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Anne Elizabeth Campagna, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 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)
Sheridan Drive Medical Group Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Sheridan Drive Medical Group LLP, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Tonawanda, NY 14217
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 33D1009784
Sheridan Drive Medical Group LLP · Buffalo, 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 Sheridan Drive Medical Group LLP's NPI number?
The NPI number for Sheridan Drive Medical Group LLP is 1679684625. It was assigned to this organization in the NPPES registry on August 31, 2006.
Where is Sheridan Drive Medical Group LLP located?
Sheridan Drive Medical Group LLP is located at 1491 Sheridan Dr, Tonawanda, NY 14217. The listed phone number is (716) 332-4476.
What is Sheridan Drive Medical Group LLP's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sheridan Drive Medical Group LLP enrolled in Medicare?
Yes. Sheridan Drive Medical Group LLP is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sheridan Drive Medical Group LLP?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Sheridan Drive Medical Group LLP. 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 (6), Internal Medicine (3) and Clinical Social Worker (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sheridan Drive Medical Group LLP hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1009784) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sheridan Drive Medical Group LLP was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Sheridan Drive Medical Group Llp · NPI 1679684625
Internal Medicine organization in Tonawanda, New York. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1679684625 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Anne Campagna, OFFICE MANAGER
## Practice location
- **Address:** 1491 SHERIDAN DR, Tonawanda, NY 14217-1234
- **Phone:** (716) 332-4476 · **Fax:** (716) 332-4479
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Internal Medicine (3), Clinical Social Worker (1); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2011
- **Other identifiers:** Medicaid 01345179 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679684625) · Data from the CMS NPPES public registry.