NPIMap

Individual provider Active NPI

Madelyn Holzman, M.D.

  • Urology Physician
  • Chico, CA
National Provider Identifier
1184624769
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C53106 Issued in CA
Practice address
572 Rio Lindo Ave
Suite 201
Chico, CA 95926-1851
Phone
(530) 893-1127
Fax
(530) 893-1128
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X H0459 TX
Urology Physician 208800000X C53106 CA Primary

Addresses

Primary practice location

572 Rio Lindo Ave
Suite 201
Chico, CA 95926-1851

Mailing address

572 Rio Lindo Ave
Suite 201
Chico, CA 95926-1851
Phone (530) 893-1127

Other identifiers 2

IdentifierTypeStateIssuer
1184624769MedicaidCA
P00762607OtherCAMEDICARE RAILROAD #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081002000256 CA Practitioner - Urology 7618969866 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, shared by 18 NPIs, 330 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3310

572 Rio Lindo Ave
Chico, CA 95926-1851
Phone (530) 893-1127

888 Lakeside VLG CMNS
Chico, CA 95928-3979
Phone (530) 332-6850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
100
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)11
Prostate resection31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C53106CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Jun 19, 2019 Accepting new patients
Enloe Medical Center CurrentSince Jun 19, 2019 Accepting new patients
Enloe Medical Center CurrentSince Oct 5, 2019 Accepting new patients
Madelyn Holzman MD MC Urology CurrentSince Aug 1, 2009 Accepting new patients
Christus Spohn Health System Corporation Past Accepting new patients
CHI St. Luke'S Health Baylor College of Medicine Medical Center Past Accepting new patients
Enloe Medical Center Past Accepting new patients
North Valley Cardiothoracic Surgeons Medical Group PastSince Jun 7, 2006 Accepting new patients
Miguel Puig MD a Medical Corporation PastSince May 1, 2019 Accepting new patients
Bay Area Healthcare Group, LTD. Past Accepting new patients

Locations

888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800

572 Rio Lindo Ave
Ste 201
Chico, CA 95926
Phone (530) 893-1127

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

1425 Magnolia Ave
Chico, CA 95926
Phone (530) 332-5150

277 Cohasset Rd
Chico, CA 95926
Phone (530) 332-5170

Interoperability endpoints

  • Direct secure messaging: mholzman15271@enloedirect.org

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1184624769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 RIO LINDO AVE",
            "address_2": "SUITE 201",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261851",
            "telephone_number": "530-893-1127",
            "fax_number": "530-893-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 RIO LINDO AVE",
            "address_2": "SUITE 201",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261851",
            "telephone_number": "530-893-1127",
            "fax_number": "530-893-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZMAN",
        "first_name": "MADELYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "H0459",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "C53106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184624769",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "P00762607",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.