Individual provider Active NPI

Ross Louis Fanara, DPM

  • Podiatrist
  • Batavia, NY
National Provider Identifier
1467446641
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0022061 Issued in NY
Practice address
4110 W Main St
Batavia, NY 14020-1260
Phone
(484) 343-8638
Fax
(585) 344-0746
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0022061 NY Primary

Addresses

Primary practice location

4110 W Main St
Batavia, NY 14020-1260

Mailing address

4110 W Main St
PO Box 422
Batavia, NY 14021-0422
Phone (585) 343-8638

Other identifiers 5

IdentifierTypeStateIssuer
100078EQOtherPREF CARE
8042OtherROCHESTER
00020070501OtherUNIVERA
0055072OtherGHI
5508130OtherFIRST HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N0022061NYMDPodiatrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467446641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 W MAIN ST",
            "address_2": "PO BOX 422",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140210422",
            "telephone_number": "585-343-8638",
            "fax_number": "585-344-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 W MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201260",
            "telephone_number": "484-343-8638",
            "fax_number": "585-344-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANARA",
        "first_name": "ROSS",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0022061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF CARE",
            "identifier": "100078EQ",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCHESTER",
            "identifier": "8042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020070501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0055072",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5508130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.