Active NPI
Patrick T Fowler, MD
- Urology Physician
- Redding, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G78482
- Practice address
- 2626 Edith Ave Ste C
Redding, CA 96001-3056 - Phone
- (530) 241-3316
- Fax
- (530) 241-6319
- NPI assigned
- Nov 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G78482 | CA | Primary |
Addresses
Primary practice location
2626 Edith Ave Ste C
Redding, CA 96001-3056
Mailing address
2626 Edith Ave
Suite C
Redding, CA 96001-3043
Phone (530) 241-3316
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340016697 | Other | CA | RAILROAD MEDICARE |
| G78482 | Other | CA | MEDICAL LICENSE |
| 00G784820 | Medicaid | CA | |
| 05D0617976 | Other | CA | CLIA ID |
| ZZZ78528Z | Medicaid | CA | |
| CP5241 | Other | CA | RAILROAD MEDICARE GROUP |
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
- Urology
- Education
- University of California, San Diego School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2626 Edith Ave
Suite C
Redding, CA 96001-3056
Phone (530) 241-3316
Hospital & facility affiliations
- Mercy Medical Center Redding
- St Elizabeth Community Hospital
- Mercy Medical Center of Mt Shasta
- Oroville Hospital
- Shasta Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G78482 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redding Urologic Associates, a Medical Corp | Urology | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients |
Locations
2624 Edith Ave
Redding, CA 96001
Phone (530) 241-3316
2626 Edith Ave
Ste C
Redding, CA 96001
Phone (530) 241-3316
Interoperability endpoints
- patrickfowler@reddinguroassoc.medalliesdirect.net
Organizations & group practices 2
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.
-
- Urology Physician
- Redding, CA
- NPI 1952402190
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Red Bluff, CA
- NPI 1083732853
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- Critical Access Hospital
- Mount Shasta, CA
- NPI 1518085430
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
-
- General Acute Care Hospital
- Redding, CA
- NPI 1205089026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1477628006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 EDITH AVE",
"address_2": "SUITE C",
"city": "REDDING",
"state": "CA",
"postal_code": "960013043",
"telephone_number": "530-241-3316",
"fax_number": "530-241-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 EDITH AVE STE C",
"city": "REDDING",
"state": "CA",
"postal_code": "960013056",
"telephone_number": "530-241-3316",
"fax_number": "530-241-6319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "PATRICK",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G78482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340016697",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G78482",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G784820",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA ID",
"identifier": "05D0617976",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ78528Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CP5241",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.