Individual provider Active NPI

Karen Baetzhold, R.P.A.

  • Physician Assistant
  • Amherst, NY
National Provider Identifier
1235198219
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003468 Issued in NY
Practice address
3925 Sheridan Drive
Suite 100
Amherst, NY 14226-0000
Phone
(716) 250-9999
Fax
(716) 250-4177
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003468 NY Primary

Addresses

Primary practice location

3925 Sheridan Drive
Suite 100
Amherst, NY 14226-0000

Mailing address

3925 Sheridan Drive
Suite 100
Amherst, NY 14226-0000
Phone (716) 250-9999

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000022 NY Practitioner - Physician Assistant 0840221461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelsior Orthopaedics LLPGroup PAC ID 2062491517, 146 clinicians

Practice addresses (Care Compare)

10195 Niagara Falls Blvd
Suite 100
Niagara Falls, NY 14304-2941
Phone (716) 250-9999

260 Red Tail Rd
Orchard Park, NY 14127-1562
Phone (716) 250-9999

3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999

8750 Transit Rd
East Amherst, NY 14051-2610

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
80.2
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
89.79 of 100Reported as group
Quality
89.94
Promoting interoperability
88
Improvement activities
40
Cost
82.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0034681NYMDPhysical Therapist
003468NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Orthopaedics, LLP CurrentSince Aug 27, 2024 Accepting new patients
Buffalo Spine & Sports Medicine PC Past Accepting new patients

Locations

4020 Sheridan Dr
Amherst, NY 14226

3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500

3925 Sheridan Dr
Ste 100
Buffalo, NY 14226
Phone (716) 250-6492

8750 Transit Rd
Ste 105
East Amherst, NY 14051
Phone (716) 636-1470

10195 Niagara Falls Blvd
#100
Niagara Falls, NY 14304

260 Red Tail Rd
Orchard Park, NY 14127
Phone (716) 675-5711

2540 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 862-0567

Interoperability endpoints

  • Direct secure messaging: kbaetzhold@excelsiorortho.medentdirect.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1235198219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 SHERIDAN DRIVE",
            "address_2": "SUITE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142260000",
            "telephone_number": "716-250-9999",
            "fax_number": "716-250-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 SHERIDAN DRIVE",
            "address_2": "SUITE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142260000",
            "telephone_number": "716-250-9999",
            "fax_number": "716-250-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAETZHOLD",
        "first_name": "KAREN",
        "credential": "R.P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.