Great Lakes Physician, PC
NPI 1659310092ActiveOrganization· Urology· Cheektowaga, NY
Urology in Cheektowaga, New York, registered in NPPES in June 2006. The authorized official on file is Kairav Kent Chevli, MD, Managing Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659310092 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2006 |
| Last updated in NPPES | Jun 7, 2022 |
| Certified by provider | Jun 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
| Pathology, Clinical Pathology/Laboratory Medicine | 207ZP0105X | — | — |
| Radiology, Radiation Oncology | 2085R0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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