MICHAEL A FITZGERALD MD NPI 1083634109

NPI Information

  • NPI: 1083634109
  • Provider Name: MICHAEL A FITZGERALD, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 4870 BROAD RD
    SUITE 3Q
    SYRACUSE, NY
    ZIP 13215
  • Phone: (315) 492-5292

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NPI Details

Michael A Fitzgerald, MD is a gastroenterology internal medicine in Syracuse, NY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Michael A Fitzgerald, MD NPI is 1083634109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4870 BROAD RD
SUITE 3Q
SYRACUSE, NY
ZIP 13215-206
Phone: (315) 492-5292
Fax: (315) 492-5123

The enumeration date for this NPI number is 7/20/2006 and was last updated on 3/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology1189823NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
156032CMEDICARE PINNEW YORK
2B81343MEDICARE UPINNEW YORK
334944CMEDICARE ID-TYPE UNSPECIFIEDNEW YORK
400482260MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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