Individual provider Active NPI

Michael T. Doldan, D.O.

  • Family Medicine Physician
  • Hamburg, NY
National Provider Identifier
1457686347
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
254074 Issued in NY
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

Updated by the provider on Nov 16, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110513000018 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Internal Medicine 6901082676 Reassigns benefits to 2 organizations

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
Robert Erickson DO and Jennifer Erickson DO LLCGroup PAC ID 5991748626, 13 clinicians

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 Hospital, Buffalo, NY, CCN 330279
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254074NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Erickson DO and Jennifer Erickson DO LLC CurrentSince Sep 1, 2024 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Mar 1, 2012 Accepting new patients
Robert Erickson DO and Jennifer Erickson DO LLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Mar 1, 2012 Accepting new patients
General Physician, PC CurrentSince Dec 1, 2023 Accepting new patients
Highgate Medical Group PastSince Nov 13, 2022 Accepting new patients
Frederick M. Occhino, D.O.,P.C. Family Medicine PastSince Nov 19, 2023 Accepting new patients
Highgate Medical Group Family Medicine PastSince Jul 18, 2006 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.