SOUTHTOWNS GASTROENTEROLOGY, PLLC
NPI 1679872055
Internal Medicine - Gastroenterology in Orchard Park, NY
About Southtowns Gastroenterology, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHTOWNS GASTROENTEROLOGY, PLLC (NPI 1679872055) is a healthcare organization registered as a gastroenterology in Orchard Park, New York and active in the NPI registry since March 2011. The organization lists Albert Diaz-ordaz, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Southtowns Gastroenterology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Southtowns Gastroenterology, PLLC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Southtowns Gastroenterology, PLLC's NPI number?
The NPI number for Southtowns Gastroenterology, PLLC is 1679872055. It was assigned to this organization in the NPPES registry on March 24, 2011.
Where is Southtowns Gastroenterology, PLLC located?
Southtowns Gastroenterology, PLLC is located at 3065 Southwestern Blvd Ste 100, Orchard Park, NY 14127. The listed phone number is (716) 677-9220.
What is Southtowns Gastroenterology, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Southtowns Gastroenterology, PLLC enrolled in Medicare?
Yes. Southtowns Gastroenterology, PLLC is registered in the Medicare PECOS enrollment system.
When is Southtowns Gastroenterology, PLLC'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 December 31, 2026. 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 Southtowns Gastroenterology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Southtowns Gastroenterology, PLLC. 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 Pathology (4), Gastroenterology (2) and Nurse Practitioner (2). Of these, 7 practice 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 Southtowns Gastroenterology, PLLC was last updated on March 28, 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.
# Southtowns Gastroenterology, Pllc · NPI 1679872055
Gastroenterology organization in Orchard Park, New York. Organization record, active in the CMS NPPES registry since March 24, 2011.
## Identity
- **NPI:** 1679872055 (Entity type: Organization)
- **Enumerated:** March 24, 2011
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Albert Diaz-Ordaz, PHYSICIAN
## Practice location
- **Address:** 3065 SOUTHWESTERN BLVD, STE 100, Orchard Park, NY 14127-1239
- **Phone:** (716) 677-9220 · **Fax:** (716) 677-9226
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pathology (4), Gastroenterology (2), Nurse Practitioner (2); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2011
- **Other identifiers:** Medicare UPIN C57918 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1679872055) · Data from the CMS NPPES public registry.