Individual provider Active NPI

Michael P. Pizzuto, MD

  • Pediatric Otolaryngology Physician
  • Buffalo, NY
National Provider Identifier
1801892286
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
168257 Issued in NY
Practice address
Oishei Childrens Out Patient Center
1001 Main St. 3Rd Floor
Buffalo, NY 14203
Phone
(716) 323-6030
Fax
(716) 323-6671
NPI assigned
Jun 22, 2005
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X 168257 NY Primary

Addresses

Primary practice location

Oishei Childrens Out Patient Center
1001 Main St. 3Rd Floor
Buffalo, NY 14203

Mailing address

Oishei Childrens Out Patient Center
1001 Main St. 3Rd Floor
Buffalo, NY 14203
Phone (716) 323-6030

Other identifiers 1

IdentifierTypeStateIssuer
01247209MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071120000286 NY Practitioner - OtolaryngologyPractitioner - Pediatric Medicine 5496843740 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168257NYMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Jun 1, 2025 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Jun 1, 2025 Accepting new patients

Locations

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

1001 Main St
Fl 3
Buffalo, NY 14203
Phone (716) 323-6030

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1801892286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OISHEI CHILDRENS OUT PATIENT CENTER",
            "address_2": "1001 MAIN ST. 3RD FLOOR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-323-6030",
            "fax_number": "716-323-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OISHEI CHILDRENS OUT PATIENT CENTER",
            "address_2": "1001 MAIN ST. 3RD FLOOR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-323-6030",
            "fax_number": "716-323-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZUTO",
        "first_name": "MICHAEL",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "NY",
            "license": "168257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01247209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.