Individual provider Active NPI

Nicholas S Stollenwerk, MD

  • Pulmonary Disease Physician
  • Sacramento, CA
National Provider Identifier
1376523472
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
OOA818000 Issued in CA
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

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712001248 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Infectious DiseasePractitioner - Critical Care (Intensivists) 8325026743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
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
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

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 Hospital, Sacramento, CA, CCN 050599
  • Enloe Health Hospital, Chico, CA, CCN 050039

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
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

LicenseStateTypeSpecialty
A818000CAMDCritical Care Medicine (Internal Medicine) Physician
OOA818000CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Pulmonary Disease CurrentSince Jul 1, 2005 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 1, 2005 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.