NPIMap

Individual provider Active NPI

Nicholas A Pantano, MD

  • Family Medicine Physician
  • Williamsville, NY
National Provider Identifier
1417454463
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
306719 Issued in NY
Practice address
6255 Sheridan Dr Ste 200
Williamsville, NY 14221-8096
Phone
(716) 636-7979
Fax
(716) 929-0192
NPI assigned
Apr 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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 306719 NY Primary

Addresses

Primary practice location

6255 Sheridan Dr Ste 200
Williamsville, NY 14221-8096

Mailing address

6255 Sheridan Dr Ste 200
Williamsville, NY 14221-8096
Phone (716) 636-7979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214001081 NY Practitioner - Family Practice 6608113030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highgate Medical Group PCGroup PAC ID 6901885565, 58 clinicians

Practice addresses (Care Compare)

6255 Sheridan Dr
Williamsville, NY 14221-4825
Phone (716) 636-7979

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highgate Medical Group Family Medicine CurrentSince Sep 8, 2021 Accepting new patients
Harris Hill Nursing Facility, LLC Past Accepting new patients
Garden Gate Health Care Facility LLC Past Accepting new patients

Locations

3950 E Robinson Rd
Ste 305
West Amherst, NY 14228

1150 Youngs Rd
Ste 104
Williamsville, NY 14221
Phone (716) 636-7979

6255 Sheridan Dr
Ste 200
Williamsville, NY 14221
Phone (716) 636-7979

6255 Sheridan Dr
Williamsville, NY 14221
Phone (716) 857-8666

Interoperability endpoints

  • Direct secure messaging: npantano@highgatemedical.medentdirect.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.

Hospital & facility affiliations 12

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1417454463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 SHERIDAN DR STE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218096",
            "telephone_number": "716-636-7979",
            "fax_number": "716-929-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 SHERIDAN DR STE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218096",
            "telephone_number": "716-636-7979",
            "fax_number": "716-929-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTANO",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "306719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.