Individual provider Active NPI

Maurice M Gelia, D.P.M.

  • Foot Surgery Podiatrist
  • Tonawanda, NY
National Provider Identifier
1093726952
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
3641-1 Issued in NY
Practice address
1540 Ellicott Creek Rd
Ste 1
Tonawanda, NY 14150-2935
Phone
(716) 743-2000
Fax
(716) 743-2002
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 3641-1 NY Primary

Addresses

Primary practice location

1540 Ellicott Creek Rd
Ste 1
Tonawanda, NY 14150-2935

Mailing address

1540 Ellicott Creek Rd
Ste 1
Tonawanda, NY 14150-2935
Phone (716) 743-2000

Other identifiers 3

IdentifierTypeStateIssuer
01113157MedicaidNY
1093726952OtherNYNATIONAL PROVIDER IDENTIFIER
480004594OtherNYMEDICARE RAILROAD

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000537 NY Practitioner - Podiatry 1951331735 Practice locations: Tonawanda, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1540 Ellicott Creek Rd
Suite 1
Tonawanda, NY 14150-2935
Phone (716) 743-2000

Hospital & facility affiliations

  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue248
Removal of skin lesions77
Removal of nail tissue517
Removal or shaving of skin growth443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3641-1NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spenser a Soldano PastSince Dec 14, 2025 Accepting new patients
Marina a Maulucci Past Accepting new patients

Organizations & group practices 2

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 1

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1093726952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 ELLICOTT CREEK RD",
            "address_2": "STE 1",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141502935",
            "telephone_number": "716-743-2000",
            "fax_number": "716-743-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ELLICOTT CREEK RD",
            "address_2": "STE 1",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141502935",
            "telephone_number": "716-743-2000",
            "fax_number": "716-743-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELIA",
        "first_name": "MAURICE",
        "middle_name": "M",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "3641-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01113157",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1093726952",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480004594",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.