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Great Lakes Physician, PC

Urology Physician in Cheektowaga, NY · enumerated 2006 · authorized official K Chevli, Managing Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720045792

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Physician, PC
Other name <Unavail>
Practice address 3085 Harlem Rd, Suite 350, Cheektowaga, NY, 14225
Phone (716) 844-5000
Fax (716) 844-5050
Enumeration date Apr 26, 2006
Last updated in NPPES Apr 25, 2017

Taxonomy & classification

207ZP0105X Clinical Pathology/Laboratory Medicine Physician Allopathic & Osteopathic Physicians Secondary
2085R0001X Radiation Oncology Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name K Chevli
Title Managing Physician
Phone (716) 844-5600

Other identifiers

Identifier Type State Issuer
03869087 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Great Lakes Physician, PC?
The NPI for Great Lakes Physician, PC is 1720045792, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Great Lakes Physician, PC?
NPPES lists K Chevli (Managing Physician) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-25.