GREAT LAKES UROLOGY PLLC – NPI #1063203859
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

GREAT LAKES UROLOGY PLLC is an urologist located in CHEEKTOWAGA, NY. NPPES has assigned the NPI number 1063203859 to GREAT LAKES UROLOGY PLLC on May 13, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT LAKES UROLOGY PLLC below.

NPI Profile for
GREAT LAKES UROLOGY PLLC

NPI Number
1063203859
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT LAKES UROLOGY PLLC
Primary location
3085 HARLEM RD STE 200
CHEEKTOWAGA, NY 14225-2591
Phone: (716) 844-5000 Fax: (716) 844-5750
Mailing address
3085 HARLEM RD STE 350
CHEEKTOWAGA, NY 14225-2591
Phone: (716) 844-5600 Fax: (168) 445-7507
Organization Subpart
No
Authorized Official
K CHEVLI
MANAGING PHYSICIAN
Phone: (716) 844-5600
Updated
Certification Date
May 13, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.