NPIMap

Individual provider Active NPI

Frederick J Piwko, MD

  • Family Medicine Physician
  • Lockport, NY
National Provider Identifier
1639196421
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
213857 1 Issued in NY
Practice address
3805 Lockport Olcott Rd
Lockport, NY 14094-1128
Phone
(716) 439-4248
Fax
(716) 439-4838
NPI assigned
Jul 16, 2006
Last updated
May 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 213857 1 NY Primary

Addresses

Primary practice location

3805 Lockport Olcott Rd
Lockport, NY 14094-1128

Mailing address

3805 Lockport Olcott Rd
Lockport, NY 14094-1128
Phone (716) 439-4248

Other identifiers 6

IdentifierTypeStateIssuer
080145749OtherNYPALMETTO GBA MEDICARE RAILROAD
5999046OtherGHI
0110742OtherNYINDEPENDENT HEALTH
00020529401OtherUNWIRA
000525755001OtherNYBC/BS OF WESTERN NEW YROK
01956481MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000184 NY Practitioner - Family Practice 0345295945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

3805 Lockport Olcott Rd
Lockport, NY 14094-1128
Phone (716) 852-4772

3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266

6009 S Transit Rd
Suite 300
Lockport, NY 14094-6307
Phone (716) 656-4077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213857 1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jan 7, 2019 Accepting new patients

Locations

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

3805 Lockport Olcott Rd
Lockport, NY 14094
Phone (716) 439-4248

Interoperability endpoints

  • Direct secure messaging: fpiwko@gppc.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1639196421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 LOCKPORT OLCOTT RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941128",
            "telephone_number": "716-439-4248",
            "fax_number": "716-439-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 LOCKPORT OLCOTT RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941128",
            "telephone_number": "716-439-4248",
            "fax_number": "716-439-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIWKO",
        "first_name": "FREDERICK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "213857 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE RAILROAD",
            "identifier": "080145749",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5999046",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0110742",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNWIRA",
            "identifier": "00020529401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WESTERN NEW YROK",
            "identifier": "000525755001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01956481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.