Individual provider Active NPI

Michael J Merletti, DPM

  • Podiatrist
  • Niagara Falls, NY
National Provider Identifier
1952377285
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004636 Issued in NY
Practice address
620 10TH St
Suite 700
Niagara Falls, NY 14301-1841
Phone
(716) 278-4424
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004636 NY Primary

Addresses

Primary practice location

620 10TH St
Suite 700
Niagara Falls, NY 14301-1841

Mailing address

620 10TH St
Suite 700
Niagara Falls, NY 14301-1841
Phone (716) 278-4424

Other identifiers 1

IdentifierTypeStateIssuer
01205669MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803001411 NY Practitioner - Podiatry 2567433535 Reassigns benefits to 1 organization
Practice locations: Westfield, NY; Salamanca, NY; Painted Post, NY; Orchard Park, NY; Niagara Falls, NY; Lockport, NY; Houghton, NY; Gasport, NY…

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2600 Niagara Falls Blvd
Niagara Falls, NY 14304-4560
Phone (716) 510-7556

2806 George St
Eden, NY 14057-1205
Phone (716) 510-7556

620 10TH St
Suite 700
Niagara Falls, NY 14301-1841
Phone (716) 510-7556

620 Tenth St
Suite 710
Niagara Falls, NY 14302-0708
Phone (716) 278-4290

621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue271
Removal of skin lesions1-10
Removal of nail tissue3422
Removal or shaving of skin growth152
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004636NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Sep 12, 2023 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Sep 12, 2023 Accepting new patients
Theodore F Merletti, DPM, PC Past Accepting new patients
Heritage Manor of Lockport Past Accepting new patients

Locations

620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

620 10th St
Ste 700
Niagara Falls, NY 14301
Phone (716) 278-0873

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1952377285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 10TH ST",
            "address_2": "SUITE 700",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011841",
            "telephone_number": "716-278-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 10TH ST",
            "address_2": "SUITE 700",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011841",
            "telephone_number": "716-278-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLETTI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01205669",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.