Active NPI
Hany Antoun Fattouch, M.D.
- Anesthesiology Physician
- Lockport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 197334
- Practice address
- 521 East Ave
Lockport, NY 14094-3201 - Phone
- (716) 514-5643
- NPI assigned
- Mar 8, 2006
- Last updated
- Feb 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01806133 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 197334 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Niagara Medical Group PC | Anesthesiology | Current | Accepting new patients |
| Parkside Medical Anesthesia Associates | Anesthesiology | Current | Accepting new patients |
| Ams National LLC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Lockport, NY
- NPI 1902913098
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1740444959
-
- Anesthesiology Physician
- Buffalo, NY
- NPI 1871537464
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.