Great Lakes Urology PLLC
NPI 1063203859 · Urology Physician · Cheektowaga, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Urology PLLC is a Urology Physician organization in Cheektowaga, NY (NPI 1063203859).
Provider details
- NPI number
- 1063203859
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- K Chevli, Managing Physician(716) 844-5600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-13
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Great Lakes Urology PLLC's NPI number?
- Great Lakes Urology PLLC's National Provider Identifier (NPI) is 1063203859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Urology PLLC?
- Great Lakes Urology PLLC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Urology PLLC located?
- Great Lakes Urology PLLC's practice location on file with NPPES is 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225-2591.
- What is Great Lakes Urology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Urology PLLC is (716) 844-5000.
- Does Great Lakes Urology PLLC accept Medicare?
- Great Lakes Urology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Urology PLLC?
- The authorized official listed on Great Lakes Urology PLLC's NPPES record is K Chevli, Managing Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Urology PLLC's NPI active?
- Yes — Great Lakes Urology PLLC's NPI (1063203859) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.