Great Lakes Physician, PC
NPI 1659310092 · 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 Physician, PC is a Urology Physician organization in Cheektowaga, NY (NPI 1659310092).
Provider details
- NPI number
- 1659310092
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kairav Chevli, Managing Physician(716) 844-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Radiation Oncology Physician2085R0001X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs 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
Other names (DBA / former)
- Former legal business name
- Western New York Urology Associates LLC
- Former legal business name
- Western New York Urology Associates LLC
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2022-06-07
- Certified
- 2022-06-07
Frequently asked questions
- What is Great Lakes Physician, PC's NPI number?
- Great Lakes Physician, PC's National Provider Identifier (NPI) is 1659310092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Physician, PC?
- Great Lakes Physician, PC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Physician, PC located?
- Great Lakes Physician, PC's practice location on file with NPPES is 3085 Harlem Rd, Cheektowaga, NY 14225-2591.
- What is Great Lakes Physician, PC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Physician, PC is (716) 844-5000.
- Does Great Lakes Physician, PC accept Medicare?
- Great Lakes Physician, PC 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 Physician, PC?
- The authorized official listed on Great Lakes Physician, PC's NPPES record is Kairav Chevli, Managing Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Physician, PC's NPI active?
- Yes — Great Lakes Physician, PC's NPI (1659310092) is active in the NPPES registry as of the last update on 2022-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.