Individual provider Active NPI

Ryan D Holzmacher, MD

  • Internal Medicine Physician
  • Greenfield, WI
National Provider Identifier
1598700601
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42642-020 Issued in WI
Practice address
5017 S 110TH St
Greenfield, WI 53228-3131
Phone
(414) 301-3531
NPI assigned
Jun 20, 2006
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 42642-020 WI Primary
Nephrology Physician 207RN0300X 42642-020 WI
Pain Medicine Physician 208VP0000X 42642-020 WI

Addresses

Primary practice location

5017 S 110TH St
Greenfield, WI 53228-3131

Mailing address

19050 Blue Ridge CT
Brookfield, WI 53045-5103
Phone (414) 202-1724

Other identifiers 1

IdentifierTypeStateIssuer
34749000MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060905000204 WI Practitioner - Internal MedicinePractitioner - Pain ManagementPractitioner - Nephrology 7214909761 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Southern Illinois University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Medical SCGroup PAC ID 0042595175, 118 clinicians
Maple Medical SCGroup PAC ID 9032471248, 25 clinicians

Practice addresses (Care Compare)

18740 W Bluemound Rd
Brookfield, WI 53045-2936
Phone (262) 782-0230

N20W22961 Watertown Rd
Waukesha, WI 53186-1306
Phone (262) 875-5070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42642-020WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Medical SC Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Oak Medical SC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
Curana Health of Wisconsin Inc Internal Medicine CurrentSince Aug 7, 2024 Accepting new patients
Greater Milwaukee Medical Services Past Accepting new patients
Advanced Pain Management SC Pain Medicine Past Accepting new patients
Prohealth Medical Group Inc Internal Medicine Past Accepting new patients

Locations

18740 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 782-0230

1366 E Sumner St
Hartford, WI 53027
Phone (337) 408-0805

N84W17049 Menomonee Ave
Menomonee Fls, WI 53051
Phone (262) 255-1180

5017 S 110th St
Milwaukee, WI 53228
Phone (414) 427-8282

2195 N Summit Village Way
Summit, WI 53066
Phone (262) 560-2400

2428 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 875-5070

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1598700601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19050 BLUE RIDGE CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455103",
            "telephone_number": "414-202-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 S 110TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532283131",
            "telephone_number": "414-301-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZMACHER",
        "first_name": "RYAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "42642-020",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "42642-020",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WI",
            "license": "42642-020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34749000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.