Individual provider Active NPI

Frederick Paul Gutt, M.D.

  • Anesthesiology Physician
  • Mahopac, NY
National Provider Identifier
1720085301
Registry record updated Sep 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
219156 Issued in NY
Practice address
28 Deer Trail Dr
Mahopac, NY 10541-4815
Phone
(914) 804-5050
Fax
(845) 621-2221
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD430364 PA
Anesthesiology Physician 207L00000X 219156 NY Primary

Addresses

Primary practice location

28 Deer Trail Dr
Mahopac, NY 10541-4815

Mailing address

28 Deer Trail Dr
Mahopac, NY 10541-4815
Phone (914) 804-5050

Other identifiers 2

IdentifierTypeStateIssuer
02135899MedicaidNY
1017875810001MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040920000189 NY Practitioner - Anesthesiology 9032187935 Reassigns benefits to 4 organizations
I20070105000132 PA Practitioner - Anesthesiology 9032187935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Miami, LM Miller School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

243 N Rd
Poughkeepsie, NY 12601-1173

955 Little Britain Rd
New Windsor, NY 12553-7354
Phone (845) 437-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD430364PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Jun 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Jun 1, 2018 Accepting new patients
Hudson Health Anesthesia PLLC Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
Westchester Medical Center Advanced Physician Services PC Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Feb 26, 2001 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Mar 31, 2015 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Apr 1, 2022 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology Past Accepting new patients
North Road Medical Group PLLC Past Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

177 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3090

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

6 Front St
Newburgh, NY 12550

21 Reade Pl
Ste 2200
Poughkeepsie, NY 12601
Phone (845) 483-0698

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

201 State St
Erie, PA 16550
Phone (814) 877-2137

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694217600000",
    "number": "1720085301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DEER TRAIL DR",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414815",
            "telephone_number": "914-804-5050",
            "fax_number": "845-621-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 DEER TRAIL DR",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414815",
            "telephone_number": "914-804-5050",
            "fax_number": "845-621-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTT",
        "first_name": "FREDERICK",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-09-09",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD430364",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "219156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02135899",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017875810001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "fhir",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fhir",
            "address_1": "177 Fort Washington Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100323733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "fhir",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fhir",
            "address_1": "177 Fort Washington Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100323733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

Verify at the official NPI Registry.