Individual provider Active NPI

Susan J Wittman, M.D.

  • Pediatric Anesthesiology Physician
  • Buffalo, NY
National Provider Identifier
1073686671
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
60201 Issued in KY
Practice address
818 Ellicott St
Buffalo, NY 14203-1021
Phone
(443) 895-1038
NPI assigned
Nov 15, 2006
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 60201 KY
Anesthesiology Physician 207L00000X 266904 NY
Pediatric Anesthesiology Physician 207LP3000X 266904 NY
Pediatric Anesthesiology Physician 207LP3000X 60201 KY Primary

Addresses

Primary practice location

818 Ellicott St
Buffalo, NY 14203-1021

Mailing address

67 Olde Covington Way
Arden, NC 28704-9310
Phone (443) 895-1038

Other practice location 1

231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME, AR, OK, MT, KY6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20121203000475 NY Practitioner - Anesthesiology 3173606290 Reassigns benefits to 2 organizations
I20190627001471 ME Practitioner - Anesthesiology 3173606290
I20191002003739 AR Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 3173606290 Reassigns benefits to 3 organizations
I20220315002272 OK Practitioner - Anesthesiology 3173606290 Reassigns benefits to 1 organization
I20230306002676 MT Practitioner - Anesthesiology 3173606290 Reassigns benefits to 1 organization
I20260122001892 KY Practitioner - Anesthesiology 3173606290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

1951 Bishop LN
FL 4
Louisville, KY 40218-1923

PO Box
Suite 713350
Chicago, IL 60677-1392

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266904NYMDLicensed Practical Nurse
60201KYMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Feb 20, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 10, 2019 Accepting new patients
Billings Clinic Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 10, 2019 Accepting new patients
University of Arkansas for Medical Sciences Anesthesiology Current Accepting new patients
Billings Clinic CurrentSince Feb 20, 2023 Accepting new patients
Ou Health Partners, Inc CurrentSince Mar 3, 2022 Accepting new patients
Arkansas Children's Hospital CurrentSince Aug 10, 2019 Accepting new patients
Maple Gate Anesthesiologists, P.C. Anesthesiology CurrentSince Jul 13, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince Mar 3, 2022 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Jan 5, 2026 Accepting new patients
University of Arkansas for Medical Sciences Anesthesiology Current Accepting new patients
Arkansas Childrens Hospital CurrentSince Aug 10, 2019 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Jan 5, 2026 Accepting new patients
Anesthesia Associates of Rochester, P.C. Anesthesiology CurrentSince Nov 27, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 10, 2019 Accepting new patients
Endocentre at Quarterfield Station Past Accepting new patients
Woodholme Gastroenterology Assoc PA Past Accepting new patients

Locations

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

2568 Walden Ave
Ste 103
Cheektowaga, NY 14225

111 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2022

130 Allens Creek Rd
Ste 200
Rochester, NY 14618
Phone (585) 410-6545

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

920 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone (405) 271-5251

920 Stanton L Young Blvd
Ste 1140
Oklahoma City, OK 73104

Organizations & group practices 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1073686671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 OLDE COVINGTON WAY",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049310",
            "telephone_number": "443-895-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 ELLICOTT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031021",
            "telephone_number": "443-895-1038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021821",
            "country_code": "US",
            "telephone_number": "502-629-6000",
            "fax_number": "502-451-4553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTMAN",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "60201",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "266904",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NY",
            "license": "266904",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "KY",
            "license": "60201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.