Active NPI
Douglas Allen Schultz, M.D.
- Pediatrics Physician
- North Tonawanda, NY
National Provider Identifier
1124022041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 210277
- Practice address
- 2890 Niagara Falls Blvd
North Tonawanda, NY 14120-1114 - Phone
- (716) 807-7337
- Fax
- (716) 807-0848
- NPI assigned
- Jun 9, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 210277 | NY | Primary |
Addresses
Primary practice location
2890 Niagara Falls Blvd
North Tonawanda, NY 14120-1114
Mailing address
2890 Niagara Falls Blvd
North Tonawanda, NY 14120-1114
Phone (716) 807-7337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07986570 | Medicaid | NY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160607001213 | NY | Order and Referring Only - Pediatric Medicine | 6305895582 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University at Buffalo Pediatric Associates Inc | Pediatrics | Past | Accepting new patients |
| Wheatfield Pediatrics, LLP | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- dschultz@wheatfieldpediatrics.medentdirect.com
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.
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124022041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2890 NIAGARA FALLS BLVD",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141201114",
"telephone_number": "716-807-7337",
"fax_number": "716-807-0848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2890 NIAGARA FALLS BLVD",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141201114",
"telephone_number": "716-807-7337",
"fax_number": "716-807-0848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "DOUGLAS",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "210277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07986570",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.