Active NPI
Michael J Merletti, DPM
- Podiatrist
- Niagara Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004636
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01205669 | Medicaid | NY |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 271 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 3422 |
| Removal or shaving of skin growth | 152 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004636 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niagara Falls Memorial Medical Center | Current | Accepting new patients | |
| Niagara Falls Memorial Medical Center | Current | 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
- 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.
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
-
- Oncology Clinic/Center
- Niagara Falls, NY
- NPI 1144842816
-
- Adult Care Home Facility
- Lockport, NY
- NPI 1043481831
-
- Durable Medical Equipment & Medical Supplies
- Niagara Falls, NY
- NPI 1598943458
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.