Active NPI
Kathylynn C Pietak, M.D.
- Internal Medicine Physician
- Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200533
- 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, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010491902 | Other | NY | UNIVERA |
| 000525623002 | Other | NY | BC/BS |
| 01970263 | Medicaid | NY | |
| 0410911 | Other | NY | IHA |
| 145444BJ | Other | NY | PREFERRED CARE |
| 040426002676 | Other | NY | FIDELIS |
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
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
- Legacy Healthcare Services Inc
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amherst Medical Associates, LLP | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1154387660
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Millard Fillmore Suburban Hospital
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
dba Golisano Children's Hospital of Buffalo
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
dba Millard Fillmore Gates Hospital
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
dba Amedisys Home Health Care
- Home Health Agency
- Williamsville, NY
- NPI 1730134529
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1730268384
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.