Active NPI
Paolo Fedi, MD
- Gastroenterology Physician
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 230138
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02758189 | Medicaid | NY | |
| 1679950430 | Other | NY | TYPE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 10
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 132 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 91 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230138 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adirondack Medical Center | Current | Accepting new patients | |
| Adirondack Medical Center | Current | Accepting new patients | |
| Beaumont Gastroenterology Services | Gastroenterology | Current | 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
- 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.
-
- General Practice Physician
- Saranac Lake, NY
- NPI 1245446533
-
- Gastroenterology Physician
- Plattsburgh, NY
- NPI 1679950430
-
- Surgery Physician
- Saranac Lake, NY
- NPI 1871359000
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1699709576
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1851601108
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.