NPIMap

Individual provider Active NPI

Frederick Michael Elliott, MD

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1023080728
Registry record updated Jan 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
236287 Issued in NY
Practice address
897 Delaware Ave Ste 205
Buffalo, NY 14209-2087
Phone
(716) 768-2006
Fax
(716) 768-2007
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 236287 NY Primary

Addresses

Primary practice location

897 Delaware Ave Ste 205
Buffalo, NY 14209-2087

Mailing address

897 Delaware Ave Ste 205
Buffalo, NY 14209-2087
Phone (716) 768-2006

Other identifiers 1

IdentifierTypeStateIssuer
02686419MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000376 NY Practitioner - General PracticePractitioner - Family Practice 8224066451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ub Family Medicine IncGroup PAC ID 1658361381, 37 clinicians
Erie County Medical Center CorporationGroup PAC ID 1456308907, 316 clinicians
Horizon Health Services IncGroup PAC ID 5698689925, 144 clinicians

Practice addresses (Care Compare)

1001 Main St
FL 4
Buffalo, NY 14203-1009
Phone (716) 323-0569

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

699 Hertel Ave
Suite 350
Buffalo, NY 14207-2341
Phone (716) 831-1977

Hospital & facility affiliations

  • Erie County Medical Center Hospital, Buffalo, NY, CCN 330219
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Erie County Medical Center Corporation CurrentSince Aug 1, 2022 Accepting new patients
University Emergency Medical Services Inc. Current Accepting new patients
Ub Family Medicine, Inc Family Medicine CurrentSince Oct 31, 2022 Accepting new patients
Erie County Medical Center Corporation CurrentSince Aug 1, 2022 Accepting new patients
Horizon Health Services Inc CurrentSince Mar 9, 2018 Accepting new patients
Erie County Medical Center Corporation Past Accepting new patients
Grand Island Primary Medical Care, LLP Family Medicine PastSince Dec 15, 2008 Accepting new patients

Locations

77 Goodell St
Ste 240
Buffalo, NY 14203
Phone (716) 816-7228

1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284

699 Hertel Ave
Ste 350
Buffalo, NY 14207
Phone (716) 831-1977

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

3020 Bailey Ave
Cheektowaga, NY 14215
Phone (716) 831-0200

55 Dodge Rd
Getzville, NY 14068
Phone (716) 650-5100

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA
  • Direct secure messaging: frederickelliott@ubmd.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359158400000",
    "number": "1023080728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 DELAWARE AVE STE 205",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092087",
            "telephone_number": "716-768-2006",
            "fax_number": "716-768-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 DELAWARE AVE STE 205",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092087",
            "telephone_number": "716-768-2006",
            "fax_number": "716-768-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "FREDERICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2013-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "236287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02686419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.