Individual provider Active NPI

Julie A. Madejski, MD

  • Gynecology Physician
  • Lockport, NY
National Provider Identifier
1609840974
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
2007041 Issued in NY
Practice address
5846 Snyder Dr
Lockport, NY 14094-9497
Phone
(716) 433-3053
Fax
(716) 433-3118
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 2007041 NY Primary

Addresses

Primary practice location

5846 Snyder Dr
Lockport, NY 14094-9497

Mailing address

5846 Snyder Dr
Lockport, NY 14094-9497
Phone (716) 433-3053

Other identifiers 8

IdentifierTypeStateIssuer
000524651002OtherNYBSWNY
0709051OtherNYINDEP HEALTH
5422459OtherAETNA
J400080377OtherNYMEDICARE PTAN
00010301401OtherNYUNIVERA
0271172OtherMVP/CIGNA
01735648MedicaidNY
0299692OtherGHI

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
I20080213000500 NY Practitioner - Obstetrics/Gynecology 3476544081 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Lockport, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Chicago, Pritzker School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artemis Inspired Medicine PCGroup PAC ID 6608027545, 4 clinicians

Practice addresses (Care Compare)

5846 Snyder Dr
Lockport, NY 14094-9497
Phone (716) 433-3053

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007041NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Artemis Inspired Medicine, PC Gynecology CurrentSince Jul 1, 2012 Accepting new patients
Julie M. Donohue, MD Gynecology PastSince Jan 1, 1990 Accepting new patients

Locations

5846 Snyder Dr
Lockport, NY 14094
Phone (716) 433-3053

Interoperability endpoints

  • Direct secure messaging: julie.madejski.1@21418.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21418/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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 6

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1609840974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 SNYDER DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949497",
            "telephone_number": "716-433-3053",
            "fax_number": "716-433-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5846 SNYDER DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949497",
            "telephone_number": "716-433-3053",
            "fax_number": "716-433-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEJSKI",
        "first_name": "JULIE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "2007041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWNY",
            "identifier": "000524651002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEP HEALTH",
            "identifier": "0709051",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5422459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "J400080377",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010301401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP/CIGNA",
            "identifier": "0271172",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01735648",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0299692",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.