Individual provider Active NPI

Paolo Fedi, MD

  • Gastroenterology Physician
  • Plattsburgh, NY
National Provider Identifier
1043257819
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
230138 Issued in NY
Practice address
14 Durkee St Ste 125
Plattsburgh, NY 12901-2998
Phone
(518) 310-3890
Fax
(518) 536-9066
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 230138 NY Primary

Addresses

Primary practice location

14 Durkee St Ste 125
Plattsburgh, NY 12901-2998

Mailing address

14 Durkee St
Suite 125
Plattsburgh, NY 12901-2989
Phone (518) 310-3890

Other identifiers 2

IdentifierTypeStateIssuer
02758189MedicaidNY
1679950430OtherNYTYPE II NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060804000321 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 0345243655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adirondack Medical CenterGroup PAC ID 9638081284, 85 clinicians

Practice addresses (Care Compare)

2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 891-4141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy132
Upper gastrointestinal (GI) endoscopy for acid reflux91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230138NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Adirondack Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Beaumont Gastroenterology Services Gastroenterology CurrentSince Jun 24, 2015 Accepting new patients

Locations

14 Durkee St
Ste 125
Plattsburgh, NY 12901
Phone (518) 310-3890

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

309 County Route 47
Ste 1
Saranac Lake, NY 12983
Phone (518) 891-2688

7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000

Interoperability endpoints

  • Direct secure messaging: pfedi@bgs-ny.direct.office.nextgen.com

Organizations & group practices 3

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 3

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1043257819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DURKEE ST",
            "address_2": "SUITE 125",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012989",
            "telephone_number": "518-310-3890",
            "fax_number": "518-536-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DURKEE ST STE 125",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012998",
            "telephone_number": "518-310-3890",
            "fax_number": "518-536-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDI",
        "first_name": "PAOLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "230138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02758189",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE II NPI",
            "identifier": "1679950430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.