Individual provider Active NPI

Fritz-Andre Duterlien, DPM

  • Podiatrist
  • New York, NY
National Provider Identifier
1780200303
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
007474 Issued in NY
Practice address
1990A Lexington Ave
New York, NY 10035-2911
Phone
(212) 534-5009
NPI assigned
Jun 19, 2020
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 007474 NY Primary

Addresses

Primary practice location

1990A Lexington Ave
New York, NY 10035-2911

Mailing address

1990A Lexington Ave
New York, NY 10035-2911
Phone (212) 534-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231109003719 DC Practitioner - Podiatry 9335596477
I20240705002038 MD Practitioner - Podiatry 9335596477 Reassigns benefits to 1 organization
I20260626000464 NY Practitioner - Podiatry 9335596477

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1990 A Lexington Ave
New York, NY 10035-2902

365 W Passaic St
Suite 530
Rochelle Park, NJ 07662-3012

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
78.26
Improvement activities
40
Cost
61.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LL9940MDMDPodiatrist

Interoperability endpoints

  • Direct secure messaging: fritz-andre.duterlien.1@7845.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1780200303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990A LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352911",
            "telephone_number": "212-534-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990A LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352911",
            "telephone_number": "212-534-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTERLIEN",
        "first_name": "FRITZ-ANDRE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.