NPIMap

Individual provider Active NPI

John P Patti Jr., M.D.

  • Internal Medicine Physician
  • North Tonawanda, NY
National Provider Identifier
1306894928
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
208380 Issued in NY
Practice address
7264 Nash Rd
North Tonawanda, NY 14120-1508
Phone
(716) 694-7700
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 208380 NY Primary
Pediatrics Physician 208000000X 208380 NY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 208380 NY

Addresses

Primary practice location

7264 Nash Rd
North Tonawanda, NY 14120-1508

Mailing address

10 Meadowbrook Dr
Elma, NY 14059-9524

Other identifiers 1

IdentifierTypeStateIssuer
02078435MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050114000143 NY Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - HospitalistPractitioner - Hospice/Palliative Care 5092764290 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care, Hospitalist
Education
State University of New York at Buffalo School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinity Palliative Medicine PCGroup PAC ID 9830463710, 7 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (718) 859-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Medical of Wny PC CurrentSince Feb 1, 2014 Accepting new patients
Infinity Palliative Medicine P.C. Hospice and Palliative Medicine CurrentSince Aug 1, 2017 Accepting new patients
Infinity Medical Group P.C. Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Diane Flanigen MD Eye Care PC Past Accepting new patients
University at Buffalo Pediatric Associates Inc Pediatrics PastSince Jan 1, 1998 Accepting new patients
Maple Internal Medicine & Pediatrics, PLLC Internal Medicine Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

7264 Nash Rd
North Tonawanda, NY 14120
Phone (716) 694-7700

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

2699 Wehrle Dr
Williamsville, NY 14221
Phone (716) 631-8863

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

Organizations & group practices 6

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 6

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1306894928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEADOWBROOK DR",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7264 NASH RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201508",
            "telephone_number": "716-694-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTI",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "208380",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "208380",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "208380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02078435",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.