Individual provider Active NPI

Mark Douglas Fritzler, MD

  • Urology Physician
  • Chico, CA
National Provider Identifier
1508862871
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G60227 Issued in CA
Practice address
645 W East Ave
Ste 1
Chico, CA 95926-7201
Phone
(530) 898-8405
Fax
(530) 899-0944
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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 G60227 CA Primary

Addresses

Primary practice location

645 W East Ave
Ste 1
Chico, CA 95926-7201

Mailing address

645 W East Ave
Ste 1
Chico, CA 95926-7201
Phone (530) 898-8405

Other identifiers 1

IdentifierTypeStateIssuer
00G602270MedicaidCA

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
I20100312000682 CA Practitioner - Urology 3870628084 Reassigns benefits to 2 organizations
Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, shared by 18 NPIs, 330 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3310

888 Lakeside VLG CMNS
Chico, CA 95928-3979
Phone (530) 332-6850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G60227CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince May 5, 2019 Accepting new patients
Enloe Medical Center CurrentSince May 5, 2019 Accepting new patients
Enloe Medical Center Urology CurrentSince Oct 5, 2019 Accepting new patients
Enloe Medical Center Current Accepting new patients
Enloe Medical Center Past Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

1425 Magnolia Ave
Chico, CA 95926
Phone (530) 332-5150

277 Cohasset Rd
Chico, CA 95926
Phone (530) 332-5170

Interoperability endpoints

  • Direct secure messaging: mfritzler15240@enloedirect.org

Organizations & group practices 6

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 1

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1508862871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 W EAST AVE",
            "address_2": "STE 1",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267201",
            "telephone_number": "530-898-8405",
            "fax_number": "530-899-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 W EAST AVE",
            "address_2": "STE 1",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267201",
            "telephone_number": "530-898-8405",
            "fax_number": "530-899-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZLER",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G60227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G602270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.