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DR. ERIC FETHKE M.D.
NPI 1285600080
Pediatrics - Pediatric Cardiology in Middletown, NY

Active since February 23, 2006PECOS Enrolled
212 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-7000(845) 703-0160 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eric Fethke M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC FETHKE M.D. (NPI 1285600080) is an individual pediatric cardiology provider in Middletown, New York, licensed in New York (195450) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1991).

NPPES Registry Identity

NPI1285600080
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. ERIC FETHKECredential: M.D.
Location Address212 CRYSTAL RUN RDMiddletown, NY 10941-4009
Mailing Address212 Crystal Run RdMiddletown, NY 10941-4009 · (845) 703-7000 · Fax (845) 703-0160
Phone(845) 703-7000
Fax(845) 703-0160
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1991
Enumeration DateFebruary 23, 2006
Last NPPES UpdateFebruary 7, 2013
✔ NPI 1285600080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NY · 195450
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
212 CRYSTAL RUN RD, Middletown, NY 10941
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Other Identifiers 3

Medicare UPINH35670NY
Medicare ID-Type Unspecified550871NY
Medicaid01488665NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric Fethke M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547347858
PECOS Enrollment IDI20080411000047
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY ALT PA-C
Physician Assistant (Medical)
212 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 281-7667
MS. MARJORIE YOLANDA LEON CPNP-PC
Nurse Practitioner (Pediatrics)
212 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (914) 493-8431
PAULINA MINUCCI LMHC
Counselor (Mental Health)
212 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 281-7667
MRS. STEPHANIE E BRENNER FNP-BC
Nurse Practitioner (Family)
212 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 281-7667
EMILY R BROWN DO
Pediatrics
212 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Orange County (845) 281-7667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Fethke's NPI number?

The NPI number for Eric Fethke is 1285600080. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Eric Fethke located?

Eric Fethke practices at 212 Crystal Run Rd, Middletown, NY 10941. The listed phone number is (845) 703-7000.

What is Eric Fethke's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Eric Fethke enrolled in Medicare?

Yes. Eric Fethke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eric Fethke was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.