Individual provider Active NPI

Patrick T Fowler, MD

  • Urology Physician
  • Redding, CA
National Provider Identifier
1477628006
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G78482 Issued in CA
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

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
340016697OtherCARAILROAD MEDICARE
G78482OtherCAMEDICAL LICENSE
00G784820MedicaidCA
05D0617976OtherCACLIA ID
ZZZ78528ZMedicaidCA
CP5241OtherCARAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000853 CA Practitioner - Urology 3971673393 Reassigns benefits to 1 organization

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
Redding Urologic Associates a Medical CorpGroup PAC ID 1052385622, 4 clinicians

Practice addresses (Care Compare)

2626 Edith Ave
Suite C
Redding, CA 96001-3056
Phone (530) 241-3316

Hospital & facility affiliations

  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042
  • Mercy Medical Center of Mt Shasta Hospital, Mount Shasta, CA, CCN 051319
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G78482CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Urologic Associates, a Medical Corp Urology CurrentSince Mar 9, 1994 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.