Individual provider Active NPI

Michael John Endl II, MD

  • Ophthalmology Physician
  • Amherst, NY
National Provider Identifier
1811992019
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
221211-1 Issued in NY
Practice address
2825 Niagara Falls Blvd
Ste 130
Amherst, NY 14228-2046
Phone
(716) 564-2020
Fax
(716) 564-2060
NPI assigned
Jun 15, 2005
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 221211-2 NY
Ophthalmology Physician 207W00000X 221211-1 NY Primary

Addresses

Primary practice location

2825 Niagara Falls Blvd
Ste 130
Amherst, NY 14228-2046

Mailing address

6500 Porter Rd
Ste 2020
Niagara Falls, NY 14304-1529
Phone (716) 282-1114

Other identifiers 13

IdentifierTypeStateIssuer
00010055201OtherNYUNIVERA
000526479002OtherNYCOMMUNITY BLUE
02422351MedicaidNY
251744484OtherNYEMPIRE - UNITED HEALTHCAR
P00412802OtherNYMEDICARE RAIL ROAD
161578122OtherNYNORTH AMERICAN PREFERRED
161578122OtherNYAMERISIGHT
251744484OtherNYNOVA
251744484OtherNYNORTH AMERICAN PREFERRED
000526479001OtherNYCOMMUNITY BLUE
0811207OtherNYIHA
161578122OtherNYVISION LCA
161578122OtherNYNOVA

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
I20101124000777 NY Practitioner - Ophthalmology 0648479006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fichte-Endl and Elmer Eye Surgery PCGroup PAC ID 0446228597, 11 clinicians

Practice addresses (Care Compare)

2825 Niagara Falls Blvd
Suite 130
Amherst, NY 14228-2021
Phone (716) 564-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery849

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221211-2NYMDSpecialist
221211-1NYMDOphthalmology Physician

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1811992019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 PORTER RD",
            "address_2": "STE 2020",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041529",
            "telephone_number": "716-282-1114",
            "fax_number": "716-282-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 NIAGARA FALLS BLVD",
            "address_2": "STE 130",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282046",
            "telephone_number": "716-564-2020",
            "fax_number": "716-564-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDL",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "221211-2",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "221211-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010055201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000526479002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02422351",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE - UNITED HEALTHCAR",
            "identifier": "251744484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00412802",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN PREFERRED",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERISIGHT",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "251744484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN PREFERRED",
            "identifier": "251744484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000526479001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0811207",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION LCA",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "161578122",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.