Individual provider Active NPI

Deborah A Conrad, PA

  • Physician Assistant
  • Batavia, NY
National Provider Identifier
1437180981
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009356-1 Issued in NY
Practice address
5762 E Main Street Rd
Batavia, NY 14020-9649
Phone
(585) 201-7055
Fax
(585) 219-6140
NPI assigned
Jul 5, 2006
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009356-1 NY Primary

Addresses

Primary practice location

5762 E Main Street Rd
Batavia, NY 14020-9649

Mailing address

2638 Pearl Street Rd
Corfu, NY 14036-9634
Phone (585) 762-4832

Other identifiers 1

IdentifierTypeStateIssuer
02670042MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000174 NY Practitioner - Physician Assistant 5193776193 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oatka Family Medicine PCGroup PAC ID 2961647508, 3 clinicians

Practice addresses (Care Compare)

5762 E Main St Rd
Batavia, NY 14020-9621

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009356NYMDOptometrist
009356-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endion Hospitalist North PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: deborahconrad@oatka.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1437180981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 PEARL STREET RD",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369634",
            "telephone_number": "585-762-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5762 E MAIN STREET RD",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140209649",
            "telephone_number": "585-201-7055",
            "fax_number": "585-219-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009356-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02670042",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.