Michael Todd Federico, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

277023 Issued in NY

Practice address

415 Hooper Rd
Endwell, NY 13760-3646

Phone

(607) 754-3863

Fax

(607) 754-5697

NPI assigned

May 31, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endwell Family Physicians LLPGroup PAC ID 9537063987, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Twin Tier Home Health, Inc Home health agency, Johnson City, NY, CCN 337181
• United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394
• Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011
• Chenango Memorial Hospital Hospital, Norwich, NY, CCN 330033

Merit-based Incentive Payment System (MIPS)

Final score

83.22 of 100Reported as group

Quality

78.62

Promoting interoperability

96

Improvement activities

40

Cost

68.76

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/
• Direct secure messaging: mfederico@efp.medentdirect.com

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.

• Endwell Family Physicians LLP

  • Family Medicine Physician
  • Endwell, NY
  • NPI 1871512947
  Medicare reassignment Care Compare group NPD
• United Health Services Hospitals, Inc.

  • General Acute Care Hospital
  • Binghamton, NY
  • NPI 1518998699
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chenango Memorial Hospital Inc

  • General Acute Care Hospital
  • Norwich, NY
  • NPI 1770593956
  Care Compare affiliation
• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889

  Hospital

  Care Compare affiliation
• Our Lady of Lourdes Memorial Hospital Inc.

  • General Acute Care Hospital
  • Binghamton, NY
  • NPI 1629087580
  Care Compare affiliation
• Twin Tier Home Health, Inc.

  • Home Health Agency
  • Johnson City, NY
  • NPI 1760489405
  Care Compare affiliation
• United Health Services Hospitals, Inc.

  • General Acute Care Hospital
  • Binghamton, NY
  • NPI 1518998699
  Care Compare affiliation

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1740574383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HOOPER RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603646",
            "telephone_number": "607-754-3863",
            "fax_number": "607-754-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOOPER RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603646",
            "telephone_number": "607-754-3863",
            "fax_number": "607-754-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICO",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "277023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor A Elinoff, MD
• Endwell Associates of Mental Health
• Endwell Family Physicians LLP
• Endwell Physical Therapy, PLLC
• Family Audiology, PLLC
• Cheryl Diane Fedich, AS, BS. CASE MGR.
• Trichelle Feheley, FNP
• First Steps Physical Therapy, PC
• Heather Fisher, NP
• Frank D Floyd, M.D.

• Family Medicine Physician in Endwell, NY
• Providers in Endwell, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.

Verify at the official NPI Registry.