Active NPI
Michael T. Doldan, D.O.
- Family Medicine Physician
- Hamburg, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 254074
- Practice address
- 5470 Camp Rd Ste 200
Hamburg, NY 14075-2756 - Phone
- (716) 646-2590
- Fax
- (716) 646-2593
- NPI assigned
- Oct 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 254074 | NY | Primary |
Addresses
Primary practice location
5470 Camp Rd Ste 200
Hamburg, NY 14075-2756
Mailing address
PO Box 488
Buffalo, NY 14240-0488
Phone (716) 646-2590
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2004
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3671 Southwestern Blvd
Suite 101
Orchard Park, NY 14127-1749
Phone (716) 662-7008
Hospital & facility affiliations
- Mercy Hospital of Buffalo
- Sisters of Charity Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254074 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Erickson DO and Jennifer Erickson DO LLC | Current | Accepting new patients | |
| Western New York Immediate Medical Care LLC | Current | Accepting new patients | |
| Robert Erickson DO and Jennifer Erickson DO LLC | Family Medicine | Current | Accepting new patients |
| Western New York Immediate Medical Care LLC | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients | |
| Highgate Medical Group | Past | Accepting new patients | |
| Frederick M. Occhino, D.O.,P.C. | Family Medicine | Past | Accepting new patients |
| Highgate Medical Group | Family Medicine | Past | Accepting new patients |
Locations
2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273
4988 Harlem Rd
Amherst, NY 14226
Phone (716) 564-2273
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
5470 Camp Rd
Ste 200
Hamburg, NY 14075
Phone (716) 646-2590
3346 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 675-3700
3671 Southwestern Blvd
Ste 101
Orchard Park, NY 14127
Phone (716) 662-7008
3950 E Robinson Rd
Ste 207
West Amherst, NY 14228
Phone (716) 564-1111
3950 E Robinson Rd
Ste 305
West Amherst, NY 14228
Interoperability endpoints
- mdoldan@familypractice.medentdirect.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Orchard Park, NY
- NPI 1992866990
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Health Educator
- Orchard Park, NY
- NPI 1386277366
-
- Urgent Care Clinic/Center
- Williamsville, NY
- NPI 1316014491
-
- Emergency Medicine Physician
- Orchard Park, NY
- NPI 1427224625
-
- Family Medicine Physician
- Hamburg, NY
- NPI 1306927157
-
- Family Medicine Physician
- Amherst, NY
- NPI 1326158593
-
- Skilled Nursing Facility
- West Amherst, NY
- NPI 1457884470
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1457686347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 488",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142400488",
"telephone_number": "716-646-2590",
"fax_number": "716-646-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5470 CAMP RD STE 200",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140752756",
"telephone_number": "716-646-2590",
"fax_number": "716-646-2593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLDAN",
"first_name": "MICHAEL",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-09",
"last_updated": "2023-11-16",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "254074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.