Active NPI
Alfred Fast, MD
- Vascular Surgery Physician
- Niagara Falls, NY
National Provider Identifier
1306952049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 122023
- Practice address
- 620 10TH St
Suite 707
Niagara Falls, NY 14301-1841 - Phone
- (716) 282-5388
- Fax
- (716) 282-5353
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 122023 | NY | |
| Vascular Surgery Physician | 2086S0129X | 122023 | NY | Primary |
Addresses
Primary practice location
620 10TH St
Suite 707
Niagara Falls, NY 14301-1841
Mailing address
620 10TH St
Suite 707
Niagara Falls, NY 14301-1841
Phone (716) 282-5388
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00050713003 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 00632068 | Medicaid | NY | |
| 00010053601 | Other | NY | UNIVERA |
| 1890012 | Other | NY | INDEPENDENT HEALTH |
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 |
|---|---|---|---|---|
| I20080821000562 | NY | Practitioner - Thoracic Surgery | 1153496385 | Practice locations: Niagara Falls, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1964
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
620 10TH St
Suite 707
Niagara Falls, NY 14301-1841
Phone (716) 282-5388
Hospital & facility affiliations
- Niagara Falls Memorial Medical Center
- Mount St. Mary'S Hospital & Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 60 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122023 | NY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1306952049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 10TH ST",
"address_2": "SUITE 707",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011841",
"telephone_number": "716-282-5388",
"fax_number": "716-282-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 10TH ST",
"address_2": "SUITE 707",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011841",
"telephone_number": "716-282-5388",
"fax_number": "716-282-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAST",
"first_name": "ALFRED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NY",
"license": "122023",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "122023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "00050713003",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00632068",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010053601",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1890012",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.