Active NPI
Patrick D Pfizenmayer, MD
- Urology Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- PT19648
- Practice address
- 1541 Florida Ave Ste 100
Modesto, CA 95350-4438 - Phone
- (209) 577-3388
- Fax
- (209) 338-0024
- NPI assigned
- Jul 25, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Urology Physician | 208800000X | PT19648 | ND | Primary |
Addresses
Primary practice location
1541 Florida Ave Ste 100
Modesto, CA 95350-4438
Mailing address
1119 Rainbow Cir
Pittsgrove, NJ 08318-9175
Phone (856) 904-3209
Other practice location 1
1 Cooper Plz
Camden, NJ 08103-1461
Phone (856) 342-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Urology
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
29980 Network PL
Chicago, IL 60673-1299
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 64.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT19648 | ND | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients |
Locations
1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049
1541 Florida Ave
Ste 100
Modesto, CA 95350
Phone (209) 575-3839
1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839
29980 Network Pl
Chicago, IL 60673
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 9
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.
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Clinic/Center
- Rhinelander, WI
- NPI 1316616683
-
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wausau, WI
- NPI 1225905102
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1417434077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 RAINBOW CIR",
"city": "PITTSGROVE",
"state": "NJ",
"postal_code": "083189175",
"telephone_number": "856-904-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 FLORIDA AVE STE 100",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504438",
"telephone_number": "209-577-3388",
"fax_number": "209-338-0024"
}
],
"practiceLocations": [
{
"address_1": "1 Cooper Plz",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081031461",
"country_code": "US",
"telephone_number": "856-342-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PFIZENMAYER",
"first_name": "PATRICK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-25",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "ND",
"license": "PT19648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.