Federico Gonzalez-Doldan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1174488 Issued in NY

Practice address

585 Delaware St
Tonawanda, NY 14150-5300

Phone

(716) 693-5005

Fax

(716) 693-5006

NPI assigned

Jun 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Plastic and Reconstructive Surgery

Education

Other, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
• Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

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.

• Federico Gonzalez-Doldan, M.D., P.C.

  • Plastic and Reconstructive Surgery Physician
  • Tonawanda, NY
  • NPI 1578803631
  Medicare reassignment NPD Authorized official
• Audiology Service Associates, PC

  • Audiologist-Hearing Aid Fitter
  • Williamsville, NY
  • NPI 1609083138
  NPD (past)
• Niagara Falls Memorial Medical Center

  • Oncology Clinic/Center
  • Niagara Falls, NY
  • NPI 1144842816
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Care Compare affiliation
• Niagara Falls Memorial Medical Center

  • General Acute Care Hospital
  • Niagara Falls, NY
  • NPI 1285717298
  Care Compare affiliation

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1477589935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 DELAWARE ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505300",
            "telephone_number": "716-693-5005",
            "fax_number": "716-693-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 DELAWARE ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505300",
            "telephone_number": "716-693-5005",
            "fax_number": "716-693-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-DOLDAN",
        "first_name": "FEDERICO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1174488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00619618",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Glorioso
• Michael Eric Golden, PT DPT
• Poorna Sudha Goli
• Conor Vincent Gollegly
• Steven Gonser, PT DPT
• Goodcare Home Health Services, Inc.
• Goodcare Medical Supplies
• Shannon Gowen
• Mary Graf
• Rebecca Lynn Graham, FNP-BC

• Specialist in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.

Verify at the official NPI Registry.