Individual provider Active NPI

David Michael Zlotnick, M.D.

  • Interventional Cardiology Physician
  • Buffalo, NY
National Provider Identifier
1366548364
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
274743 Issued in NY
Practice address
3980 Sheridan Drive
Ubmd Internal Medicine
Buffalo, NY 14203
Phone
(716) 961-9900
Fax
(716) 961-9911
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RT1489 NH
Interventional Cardiology Physician 207RI0011X 274743 NY Primary

Addresses

Primary practice location

3980 Sheridan Drive
Ubmd Internal Medicine
Buffalo, NY 14203

Mailing address

875 Ellicott St.
University at Buffalo
Buffalo, NY 14203
Phone (716) 829-2663

Other identifiers 2

IdentifierTypeStateIssuer
2336258MedicaidLA
01981846MedicaidLA

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
I20140627002172 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466693684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-1400

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RT1489NHMDInternal Medicine Physician
274743NYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Jul 1, 2014 Accepting new patients
Kaleida Health CurrentSince Jul 1, 2014 Accepting new patients
General Physician, PC CurrentSince Jun 1, 2017 Accepting new patients
Kaleida Health Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

875 Ellicott St
Buffalo, NY 14203
Phone (716) 748-2000

100 High St
#B8
Buffalo, NY 14203
Phone (716) 859-2271

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

Interoperability endpoints

  • Direct secure messaging: dzlotnick@gppc.medentdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1366548364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ELLICOTT ST.",
            "address_2": "UNIVERSITY AT BUFFALO",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-829-2663",
            "fax_number": "716-854-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DRIVE",
            "address_2": "UBMD INTERNAL MEDICINE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-961-9900",
            "fax_number": "716-961-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLOTNICK",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "RT1489",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "274743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2336258",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01981846",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.