Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Craig M Fetterman, DO

Individual provider Internal Medicine Physician · NPI 1902868383

Craig M Fetterman, DO is an Internal Medicine in Kenmore, New York. Qualified in 2001, 25 years ago. Practices with Buffalo-Niagara Hospitalists LLC, a 37-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone: (716) 634-8800
Fax: (716) 634-8987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 230757-1 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 230757 (NY)

Record details

NPI number1902868383
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 3, 2006
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Buffalo-Niagara Hospitalists Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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