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JOHN A FABIAN M.D.
NPI 1982635504
Internal Medicine in North Tonawanda, NY

Active since July 05, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0879184 · Microscopy
80 MEAD ST, NORTH TONAWANDA, NY 14120(716) 693-1596(716) 743-0812 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John A Fabian M.d. NPPES

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

JOHN A FABIAN M.D. (NPI 1982635504) is an individual internal medicine provider in North Tonawanda, New York, licensed in New York (186089) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through December 31, 2026, and is affiliated with Kaleida Health.

NPPES Registry Identity

NPI1982635504
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN A FABIANCredential: M.D.
Location Address80 MEAD STNorth Tonawanda, NY 14120-4435
Mailing Address80 Mead StNorth Tonawanda, NY 14120-4435 · (716) 693-1596 · Fax (716) 743-0812
Phone(716) 693-1596
Fax(716) 743-0812
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982635504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 186089
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
80 MEAD ST, North Tonawanda, NY 14120
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Other Identifiers 6

Medicare ID-Type Unspecified283381NY
Other0403772NY · Independent Health Ins.
Medicare UPINE91297NY
Medicaid01280359NY
Other000511201003NY · Bc/bs Of Western New York
Other00010052501NY · Excellus/ Univera Ins. Co

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John A Fabian M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901992734
PECOS Enrollment IDI20071010000034
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0879184

John Fabian MD · North Tonawanda, NY
Active · expires Dec 31, 2026
CLIA Number33D0879184
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorJohn Fabian
Laboratory Phone(716) 693-1596
Laboratory LocationJohn Fabian MD80 Mead Street, North Tonawanda, NY 14120
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
133 services55 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
33 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. TAHIR M QAZI MD
Physical Medicine & Rehabilitation (Pain Medicine)
80 MEAD ST
NORTH TONAWANDA, NY 14120
Niagara County (716) 692-4020
EMG SPINE AND SPORTS MEDICINE, LLC
Physical Medicine & Rehabilitation (Sports Medicine)
80 MEAD ST
NORTH TONAWANDA, NY 14120
Niagara County (716) 692-4020

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 John Fabian's NPI number?

The NPI number for John Fabian is 1982635504. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is John Fabian located?

John Fabian practices at 80 Mead St, North Tonawanda, NY 14120. The listed phone number is (716) 693-1596.

What is John Fabian's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Fabian enrolled in Medicare?

Yes. John Fabian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does John Fabian hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0879184) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is John Fabian affiliated with any hospitals?

According to CMS data, John Fabian is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for John Fabian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.