Individual provider Active NPI

Elizabeth Denise Ditonto, MD, MD

  • Pain Medicine Physician
  • Buffalo, NY
National Provider Identifier
1720017825
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
197365 Issued in NY
Practice address
462 Grider St
Buffalo, NY 14215-3021
Phone
(716) 898-3215
Fax
(716) 898-5713
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 197365 NY Primary
Anesthesiology Physician 207L00000X 197365 NY

Addresses

Primary practice location

462 Grider St
Buffalo, NY 14215-3021

Mailing address

338 Harris Hill Rd
Suite 207
Williamsville, NY 14221-7470
Phone (716) 634-4798

Other identifiers 1

IdentifierTypeStateIssuer
1720017825MedicaidNY

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
I20070906000059 NY Practitioner - Pain ManagementPractitioner - Anesthesiology 8123111226 Reassigns benefits to 1 organization
Practice locations: Buffalo, NY; Orchard Park, NY; Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
State University of Ny Upstate Medical University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Pain Physicians of Wny, PLLCGroup PAC ID 9638608227, 3 clinicians

Practice addresses (Care Compare)

5959 Big Tree Rd
Suite 101
Orchard Park, NY 14127-2291
Phone (716) 810-7997

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Pain Physicians of Wny, PLLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

5959 Big Tree Rd
Ste 101
Orchard Park, NY 14127
Phone (716) 810-7997

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

5959 Big Tree Rd
Ste 108
Orchard Park, NY 14127
Phone (716) 810-7997

111 N Maplemere Rd
Williamsville, NY 14221
Phone (716) 713-4310

111 N Maplemere Rd
Ste 100
Williamsville, NY 14221
Phone (716) 810-7997

338 Harris Hill Rd
Ste 207
Williamsville, NY 14221

Organizations & group practices 1

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1720017825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 HARRIS HILL RD",
            "address_2": "SUITE 207",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217470",
            "telephone_number": "716-634-4798",
            "fax_number": "716-634-0987"
        },
        {
            "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": "716-898-3215",
            "fax_number": "716-898-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITONTO, MD",
        "first_name": "ELIZABETH",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "197365",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "197365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720017825",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.