Upstate Dermatopathology PLLC
NPI 1790567774 · Dermatopathology Physician · Williamsville, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Upstate Dermatopathology PLLC is a Dermatopathology Physician organization in Williamsville, NY (NPI 1790567774).
Provider details
- NPI number
- 1790567774
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Liaqat Ali, Medical Director/Owner(716) 574-6513
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
2 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
Registry dates
- Enumerated
- 2023-10-16
- Last updated
- 2023-10-16
- Certified
- 2023-10-13
Frequently asked questions
- What is Upstate Dermatopathology PLLC's NPI number?
- Upstate Dermatopathology PLLC's National Provider Identifier (NPI) is 1790567774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Upstate Dermatopathology PLLC?
- Upstate Dermatopathology PLLC is classified in the NPPES registry as Dermatopathology Physician (Allopathic & Osteopathic Physicians).
- Where is Upstate Dermatopathology PLLC located?
- Upstate Dermatopathology PLLC's practice location on file with NPPES is 6400 Sheridan Dr Ste 224, Williamsville, NY 14221-4842.
- What is Upstate Dermatopathology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Upstate Dermatopathology PLLC is (716) 334-0357.
- Does Upstate Dermatopathology PLLC accept Medicare?
- Upstate Dermatopathology 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 Upstate Dermatopathology PLLC?
- The authorized official listed on Upstate Dermatopathology PLLC's NPPES record is Liaqat Ali, Medical Director/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Upstate Dermatopathology PLLC's NPI active?
- Yes — Upstate Dermatopathology PLLC's NPI (1790567774) is active in the NPPES registry as of the last update on 2023-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.