Individual provider Active NPI

David Michael Dapolito, RPA-C

  • Medical Physician Assistant
  • Buffalo, NY
National Provider Identifier
1386681211
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
010749 Issued in NY
Practice address
200 International Dr
Buffalo, NY 14221-8217
Phone
(716) 912-9664
NPI assigned
May 31, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X SC4401 SC
Medical Physician Assistant 363AM0700X 010749 NY Primary

Addresses

Primary practice location

200 International Dr
Buffalo, NY 14221-8217

Mailing address

134 E Rebound Rd
Lancaster, SC 29720-7712
Phone (716) 826-7143

Other practice location 1

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Other identifiers 1

IdentifierTypeStateIssuer
02869198MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070822001390 NY Practitioner - Physician Assistant 7719079755 Reassigns benefits to 2 organizations
I20220620001485 SC Practitioner - Physician Assistant 7719079755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4401SCMDPhysical Therapy Assistant
SC4401SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Mar 30, 2020 Accepting new patients
Trinity Medical Wny PC Physician Assistant CurrentSince Mar 30, 2020 Accepting new patients
University Emergency Medical Services Inc. Current Accepting new patients
Buffalo Internal Medicine, PLLC Past Accepting new patients
Trinity Medical Wny PC Physician Assistant Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

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

2950 Elmwood Ave
Ste A1
Kenmore, NY 14217
Phone (716) 529-3070

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Organizations & group practices 7

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1386681211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 E REBOUND RD",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207712",
            "telephone_number": "716-826-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 INTERNATIONAL DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142218217",
            "telephone_number": "716-912-9664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Grider St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142153021",
            "country_code": "US",
            "telephone_number": "716-898-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAPOLITO",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "SC4401",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02869198",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.