Active NPI
Nicholas S Stollenwerk, MD
- Pulmonary Disease Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- OOA818000
- Practice address
- 4150 V St Ste 3400
Division of Pulmonary, Critical Care & Sleep Medicine
Sacramento, CA 95817-1460 - Phone
- (916) 734-3564
- Fax
- (916) 734-7924
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OOA818000 | CA | |
| Pulmonary Disease Physician | 207RP1001X | OOA818000 | CA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A818000 | CA |
Addresses
Primary practice location
4150 V St Ste 3400
Division of Pulmonary, Critical Care & Sleep Medicine
Sacramento, CA 95817-1460
Mailing address
4150 V St Ste 3400
Division of Pulmonary, Critical Care & Sleep Medicine
Sacramento, CA 95817-1460
Phone (916) 734-3564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, Geffen School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2279 45TH St
Sacramento, CA 95817-1514
Phone (916) 734-5500
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
271 Turn Pike Dr
Folsom, CA 95630-8098
Phone (916) 985-9300
2825 J St
Sacramento, CA 95816-4300
Phone (916) 734-0779
4860 Y St
Sacramento, CA 95817-2307
4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525
550 W Ranch View Dr
Suite 2005
Rocklin, CA 95765-5397
Phone (916) 734-2011
Hospital & facility affiliations
- University of California Davis Medical Center
- Enloe Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A818000 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
| OOA818000 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Pulmonary Disease | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients |
Locations
2825 J St
Sacramento, CA 95816
Phone (916) 734-0779
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
2825 J St
Ste 400
Sacramento, CA 95816
Phone (916) 734-0779
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
Organizations & group practices 3
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.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1376523472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 V ST STE 3400",
"address_2": "DIVISION OF PULMONARY, CRITICAL CARE & SLEEP MEDICINE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-3564",
"fax_number": "916-734-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 V ST STE 3400",
"address_2": "DIVISION OF PULMONARY, CRITICAL CARE & SLEEP MEDICINE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-3564",
"fax_number": "916-734-7924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLLENWERK",
"first_name": "NICHOLAS",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "OOA818000",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "OOA818000",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A818000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.