Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerard Tiballi, DO

Individual provider Emergency Medicine Physician · NPI 1912953761

Gerard Tiballi, DO is an Emergency Medicine in Amherst, New York. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 1987, 39 years ago. Practices with Western New York Immediate Medical Care LLC, a 19-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
NY
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3980 Sheridan Dr
Amherst, NY 14226-1727
Phone: (716) 729-2800
Fax: (716) 929-2819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 176342 (NY)

Record details

NPI number1912953761
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESOctober 16, 2014
Mailing address6 Fountain Plaza, Buffalo, NY 14202-2211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 1987 (39 years in practice)
Group practice Western New York Immediate Medical Care Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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