Individual provider Active NPI

Richard Allan Caputi, D.P.M.

  • Foot Surgery Podiatrist
  • Kenmore, NY
National Provider Identifier
1679594238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
03541-1 Issued in NY
Practice address
3407 Delaware Ave
Kenmore, NY 14217-1421
Phone
(716) 873-0039
NPI assigned
Jul 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 03541-1 NY Primary

Addresses

Primary practice location

3407 Delaware Ave
Kenmore, NY 14217-1421

Mailing address

4425 Overlook Dr
Williamsville, NY 14221-6343
Phone (716) 632-5352

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000148 NY Practitioner - Podiatry 1759558943 Practice locations: Kenmore, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3407 Delaware Ave
Kenmore, NY 14217-1421
Phone (716) 873-0039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue475
Removal or shaving of skin growth161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03541-1NYMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679594238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 OVERLOOK DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216343",
            "telephone_number": "716-632-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171421",
            "telephone_number": "716-873-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTI",
        "first_name": "RICHARD",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "03541-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

Verify at the official NPI Registry.