Individual provider Active NPI

Kathylynn C Pietak, M.D.

  • Internal Medicine Physician
  • Amherst, NY
National Provider Identifier
1326013723
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200533 Issued in NY
Practice address
6000 N Bailey Ave
Amherst, NY 14226-5102
Phone
(716) 834-4266
Fax
(716) 834-6255
NPI assigned
Feb 20, 2006
Last updated
Jul 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200533 NY Primary

Addresses

Primary practice location

6000 N Bailey Ave
Amherst, NY 14226-5102

Mailing address

6000 N Bailey Ave
Amherst, NY 14226-5102
Phone (716) 834-4266

Other identifiers 6

IdentifierTypeStateIssuer
00010491902OtherNYUNIVERA
000525623002OtherNYBC/BS
01970263MedicaidNY
0410911OtherNYIHA
145444BJOtherNYPREFERRED CARE
040426002676OtherNYFIDELIS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000347 NY Practitioner - Internal Medicine 9133204720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amherst Medical Associates, LLPGroup PAC ID 5193800779, 7 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1416 Sweet Home Rd
Amherst, NY 14226-2784
Phone (716) 834-4266

1499 S Brandywine Cir
Fort Myers, FL 33919-6775
Phone (239) 202-0059

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amherst Medical Associates, LLP Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients

Locations

1416 Sweet Home Rd
Ste 5
Amherst, NY 14228
Phone (716) 834-4266

6000 N Bailey Ave
Buffalo, NY 14226
Phone (716) 712-0858

6000 N Bailey Ave
Ste 1D
Buffalo, NY 14226
Phone (716) 834-4266

3950 E Robinson Rd
Ste 305
West Amherst, NY 14228

Interoperability endpoints

  • Direct secure messaging: drkpietak@amherstmedical.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1326013723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N BAILEY AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142265102",
            "telephone_number": "716-834-4266",
            "fax_number": "716-834-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 N BAILEY AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142265102",
            "telephone_number": "716-834-4266",
            "fax_number": "716-834-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETAK",
        "first_name": "KATHYLYNN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010491902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000525623002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01970263",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0410911",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "145444BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426002676",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.