Individual provider Active NPI

Christopher Todd Nutty, NP

  • Vascular & Interventional Radiology Physician
  • Hamburg, NY
National Provider Identifier
1508467481
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
F346879-01 Issued in NY
Practice address
3040 Amsdell Rd
Hamburg, NY 14075-5835
Phone
(716) 649-9000
NPI assigned
Nov 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X F346879-01 NY Primary

Addresses

Primary practice location

3040 Amsdell Rd
Hamburg, NY 14075-5835

Mailing address

1099 Colvin Blvd
Buffalo, NY 14223-1904
Phone (716) 310-8781

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
I20210423000691 NY Practitioner - Nurse Practitioner 4082022447 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F346879-01NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health Current Accepting new patients
Western New York Radiology Associates LLC CurrentSince Sep 1, 2022 Accepting new patients
Kaleida Health CurrentSince Oct 1, 2022 Accepting new patients
Southtowns Radiology Associates, LLC CurrentSince Feb 25, 2021 Accepting new patients
Kaleida Health CurrentSince Oct 1, 2022 Accepting new patients
Southtowns Radiology Associates, LLC. CurrentSince Feb 25, 2021 Accepting new patients
Great Lakes Medical Imaging LLC CurrentSince Sep 1, 2022 Accepting new patients
Kaleida Health Past Accepting new patients

Locations

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

100 High St
#D1
Buffalo, NY 14203
Phone (716) 422-0010

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

3085 Harlem Rd
Ste 150
Cheektowaga, NY 14225
Phone (716) 844-5300

3040 Amsdell Rd
Hamburg, NY 14075
Phone (716) 646-6700

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

5959 Big Tree Rd
Ste 105
Orchard Park, NY 14127
Phone (716) 256-1114

3850 Saunders Settlement Rd
Ste 150
Sanborn, NY 14132

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

Interoperability endpoints

  • Direct secure messaging: doctor.smoketesttwo.1@33201.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1508467481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 COLVIN BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231904",
            "telephone_number": "716-310-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 AMSDELL RD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755835",
            "telephone_number": "716-649-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTY",
        "first_name": "CHRISTOPHER",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "F346879-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

Verify at the official NPI Registry.