Individual provider Active NPI

Chad E Szymanski, DO

  • Family Medicine Physician
  • N Tonawanda, NY
National Provider Identifier
1336148709
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
224175 Issued in NY
Practice address
3799 Commerce CT
Suite 100
N Tonawanda, NY 14120-2024
Phone
(716) 693-5463
Fax
(716) 693-6370
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 224175 NY Primary

Addresses

Primary practice location

3799 Commerce CT
Suite 100
N Tonawanda, NY 14120-2024

Mailing address

3799 Commerce CT
Suite 100
N Tonawanda, NY 14120-2024
Phone (716) 693-5463

Other identifiers 1

IdentifierTypeStateIssuer
02396665MedicaidNY

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
I20101020000659 NY Practitioner - Family Practice 0446281331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 Wheatfield St
Suite 1
North Tonawanda, NY 14120-7034
Phone (716) 228-8405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224175NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chad E Szymanski DO PLLC Family Medicine CurrentSince Sep 30, 2022 Accepting new patients
Primary Care of Western New York LLP Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Digestive Health Physicians, P.C. Past Accepting new patients

Locations

3799 Commerce Ct
Ste 100
North Tonawanda, NY 14120
Phone (716) 693-5463

525 Wheatfield St
Ste 1
North Tonawanda, NY 14120
Phone (716) 228-8405

30 N Union Rd
Ste 102
Williamsville, NY 14221
Phone (716) 839-8000

30 N Union Rd
Williamsville, NY 14221
Phone (716) 633-6363

Interoperability endpoints

  • Direct secure messaging: chad.szymanski.1@26936.direct.athenahealth.com

Organizations & group practices 3

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1336148709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3799 COMMERCE CT",
            "address_2": "SUITE 100",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141202024",
            "telephone_number": "716-693-5463",
            "fax_number": "716-693-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 COMMERCE CT",
            "address_2": "SUITE 100",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141202024",
            "telephone_number": "716-693-5463",
            "fax_number": "716-693-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMANSKI",
        "first_name": "CHAD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "224175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02396665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.