Active NPI
Frederick Paul Gutt, M.D.
- Anesthesiology Physician
- Mahopac, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 219156
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02135899 | Medicaid | NY | |
| 1017875810001 | Medicaid | PA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD430364 | PA | MD | Anesthesiology Physician |
Practice roles
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
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Cortlandt Manor, NY
- NPI 1619633898
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
PA
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Endoscopy Clinic/Center
- Poughkeepsie, NY
- NPI 1851679864
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.