Michael J Maggiulli, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

134751 Issued in NY

Practice address

16 Bank St
Batavia, NY 14020-2250

Phone

(585) 815-6760

Fax

(585) 344-7370

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 9

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• United Memorial Medical Center

  • General Acute Care Hospital
  • Batavia, NY
  • NPI 1902800352
  Medicare reassignment NPD
• United Memorial Medical Center

  • Family Medicine Physician
  • Batavia, NY
  • NPI 1669747085
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1114015633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6966 W BERGEN",
            "city": "BERGEN",
            "state": "NY",
            "postal_code": "14416",
            "telephone_number": "585-494-1300",
            "fax_number": "585-494-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BANK ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202250",
            "telephone_number": "585-815-6760",
            "fax_number": "585-344-7370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6966 W Bergen",
            "address_purpose": "LOCATION",
            "city": "Bergen",
            "state": "NY",
            "postal_code": "14416",
            "country_code": "US",
            "telephone_number": "585-494-1300",
            "fax_number": "585-494-1132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGGIULLI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "13475",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "134751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0108596",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "0793",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDA129",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIPA",
            "identifier": "P010134751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "P010134751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF WNY",
            "identifier": "0000508058001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICADE",
            "identifier": "04481310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "22180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7331260",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julieanne Lush, MS
• Carly Ann Luttrell, BS
• Katie J Macaluso, M.D.
• David Mackey, DPT
• Megan Ann Maclachlan, OTR/L
• Nancy Mahaney, LCSW-R
• Melannie Maher, PHARM.D.
• Holly K. Main, LMSW
• Jill Kristen Majewski, R.N.
• Kelly Christina Makarowsky, FNP-BC

• Family Medicine Physician in Batavia, NY
• Providers in Batavia, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.