Individual provider Active NPI

Hany Antoun Fattouch, M.D.

  • Anesthesiology Physician
  • Lockport, NY
National Provider Identifier
1841267838
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
197334 Issued in NY
Practice address
521 East Ave
Lockport, NY 14094-3201
Phone
(716) 514-5643
NPI assigned
Mar 8, 2006
Last updated
Feb 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME147673 FL
Anesthesiology Physician 207L00000X 197334 NY Primary

Addresses

Primary practice location

521 East Ave
Lockport, NY 14094-3201

Mailing address

534 Main St
Ste 14
Medina, NY 14103-1436
Phone (585) 798-3992

Other identifiers 1

IdentifierTypeStateIssuer
01806133MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111220000798 NY Practitioner - AnesthesiologyPractitioner - Pain Management 5395735773 Reassigns benefits to 2 organizations
I20210216002827 FL Practitioner - Anesthesiology 5395735773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Office Anesthesia Supplies and Equipment LLCGroup PAC ID 8820156235, 11 clinicians
Ams National LLCGroup PAC ID 3870813025, 310 clinicians

Practice addresses (Care Compare)

2716 W Virginia Ave
Tampa, FL 33607-6328
Phone (813) 875-8032

5013 N Armenia Ave
Tampa, FL 33603-1403
Phone (813) 875-0562

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
197334NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Niagara Medical Group PC Anesthesiology CurrentSince Nov 5, 1997 Accepting new patients
Parkside Medical Anesthesia Associates Anesthesiology CurrentSince Jul 7, 2021 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Oct 25, 2024 Accepting new patients

Locations

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

5013 N Armenia Ave
Tampa, FL 33603
Phone (813) 712-5700

3871 Harlem Rd
Ste 202
Buffalo, NY 14215

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

2372 Sweet Home Rd
Ste 3
Buffalo, NY 14228

521 East Ave
Lockport, NY 14094
Phone (716) 434-9111

534 Main St
Ste 14
Medina, NY 14103
Phone (585) 798-3992

2600 William St
Newfane, NY 14108
Phone (716) 778-5071

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1841267838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 MAIN ST",
            "address_2": "STE 14",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031436",
            "telephone_number": "585-798-3992",
            "fax_number": "585-798-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 EAST AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140943201",
            "telephone_number": "716-514-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTOUCH",
        "first_name": "HANY",
        "middle_name": "ANTOUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME147673",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "197334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01806133",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.