Individual provider Active NPI

Stephen J. Fezer III, CRNA

  • Certified Registered Nurse Anesthetist
  • Buffalo, NY
National Provider Identifier
1639161656
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
352637 Issued in NY
Practice address
462 Grider St
Buffalo, NY 14215-3021
Phone
(716) 898-3436
NPI assigned
Aug 16, 2005
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 352637 NY Primary

Addresses

Primary practice location

462 Grider St
Buffalo, NY 14215-3021

Mailing address

462 Grider St
Professional Billing
Buffalo, NY 14215-3021
Phone (716) 898-3537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316001006 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860382710 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph's Physician Health PCGroup PAC ID 9436041431, 125 clinicians

Practice addresses (Care Compare)

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
80.2
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
39.78 of 100Reported as group
Quality
24.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
352637NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology & Hepatology of Central New York, PC CurrentSince Oct 1, 2015 Accepting new patients
Digestive Disease Center of Central New York, LLC Current Accepting new patients
St. Joseph's Physician Health, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Oswego Hospital CurrentSince Jan 1, 2015 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Mar 1, 2021 Accepting new patients
Erie County Medical Center Corporation CurrentSince Aug 28, 2022 Accepting new patients
Upstate New York Medical Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 27, 2023 Accepting new patients
Oswego Hospital CurrentSince Jan 1, 2015 Accepting new patients
Eastern Niagara Medical Group PC CurrentSince Dec 1, 2025 Accepting new patients
Erie County Medical Center Corporation CurrentSince Aug 28, 2022 Accepting new patients
St Josephs Hospital Health Center PastSince Jun 1, 2024 Accepting new patients
Holdings,LLC Past Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

2372 Sweet Home Rd
Ste 3
Buffalo, NY 14228

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

4000 Medical Center Dr
Ste 208
Fayetteville, NY 13066
Phone (315) 329-7999

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

5112 W Taft Rd
Ste H
Liverpool, NY 13088
Phone (315) 452-3235

7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451

5875 S Transit Rd
Lockport, NY 14094
Phone (716) 433-7730

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

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

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1639161656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "PROFESSIONAL BILLING",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-3537",
            "fax_number": "716-898-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEZER",
        "first_name": "STEPHEN",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "352637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.