Individual provider Active NPI

Debra M Omiatek, MD

  • Family Medicine Physician
  • Lewiston, NY
National Provider Identifier
1346273885
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
188148-1 Issued in NY
Practice address
265 Portage Rd
Lewiston, NY 14092-1710
Phone
(716) 754-4419
NPI assigned
Jul 8, 2006
Last updated
May 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 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 188148-1 NY Primary

Addresses

Primary practice location

265 Portage Rd
Lewiston, NY 14092-1710

Mailing address

265 Portage Rd
Lewiston, NY 14092-1710
Phone (716) 754-4419

Other identifiers 1

IdentifierTypeStateIssuer
01609925MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188148-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Hospitalist, PC Past Accepting new patients
Debra M Omiatek MD Family Medicine PastSince Jan 1, 1990 Accepting new patients
Endion Medical Healthcare PC Family Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1346273885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 PORTAGE RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921710",
            "telephone_number": "716-754-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 PORTAGE RD",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921710",
            "telephone_number": "716-754-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMIATEK",
        "first_name": "DEBRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "188148-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01609925",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.