Active NPI
Dorit Dorcas Gaedtke, MD
- Internal Medicine Physician
- Lake Placid, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 191687
- Practice address
- 1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1112 - Phone
- (518) 523-7575
- Fax
- (518) 523-7577
- NPI assigned
- Feb 14, 2006
- Last updated
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 191687 | NY | Primary |
Addresses
Primary practice location
1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1112
Mailing address
1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1112
Phone (518) 523-7575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01410195 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1927 Saranac Ave
Suite 100
Lake Placid, NY 12946-1113
Phone (518) 523-7575
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191687 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Medical Pediatrics | Past | Accepting new patients | |
| Mountain Medical Services | Past | Accepting new patients |
Interoperability endpoints
- dorit.gaedtke.2@1798.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Specialist
- Lake Placid, NY
- NPI 1427100262
-
- Emergency Medicine Physician
- Lake Placid, NY
- NPI 1962472514
-
- Specialist
- Saranac Lake, NY
- NPI 1821210352
-
- Specialist
- Saranac Lake, NY
- NPI 1871645705
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1699709576
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1851601108
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1740254069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1927 SARANAC AVE",
"address_2": "SUITE 100",
"city": "LAKE PLACID",
"state": "NY",
"postal_code": "129461112",
"telephone_number": "518-523-7575",
"fax_number": "518-523-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1927 SARANAC AVE",
"address_2": "SUITE 100",
"city": "LAKE PLACID",
"state": "NY",
"postal_code": "129461112",
"telephone_number": "518-523-7575",
"fax_number": "518-523-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAEDTKE",
"first_name": "DORIT",
"middle_name": "DORCAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "191687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01410195",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Placid, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.