Active NPI
Edward Ted Fitzpatrick, DPM
- Foot & Ankle Surgery Podiatrist
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N006292
- Practice address
- 6325 Main St
Suite 200
Williamsville, NY 14221-5822 - Phone
- (716) 839-3930
- Fax
- (716) 839-2667
- NPI assigned
- Dec 12, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103300945 | VA | |
| Podiatrist | 213E00000X | 1144 | MA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N006292 | NY | Primary |
Addresses
Primary practice location
6325 Main St
Suite 200
Williamsville, NY 14221-5822
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1219
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
- Ohio State University - College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 High St
Buffalo, NY 14203-1149
Phone (716) 630-1000
Hospital & facility affiliations
- Kaleida Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 30 |
| Removal of skin lesions | 50 |
| Removal of nail tissue | 835 |
| Removal or shaving of skin growth | 218 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1144 | MA | MD | Registered Dietitian |
| 0103300945 | VA | MD | Podiatrist |
| N006292 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients |
Locations
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
85 High St
Buffalo, NY 14203
Phone (716) 857-8623
3900 N Buffalo St
Orchard Park, NY 14127
Phone (716) 630-1112
425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219
6325 Main St
Ste 200
Williamsville, NY 14221
Phone (716) 630-1295
Interoperability endpoints
- efitzpatrick5128@direct.buffalomedicalgroup.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1881659506
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- Durable Medical Equipment & Medical Supplies
- Lockport, NY
- NPI 1982566782
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1972664449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ESSJAY RD STE 170",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218235",
"telephone_number": "716-630-1219",
"fax_number": "716-817-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 MAIN ST",
"address_2": "SUITE 200",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215822",
"telephone_number": "716-839-3930",
"fax_number": "716-839-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "EDWARD",
"middle_name": "TED",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103300945",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1144",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N006292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.