Active NPI
Ryan D Holzmacher, MD
- Internal Medicine Physician
- Greenfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42642-020
- Practice address
- 5017 S 110TH St
Greenfield, WI 53228-3131 - Phone
- (414) 301-3531
- NPI assigned
- Jun 20, 2006
- Last updated
- Sep 20, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34749000 | Medicaid | WI |
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
- Internal Medicine
- Education
- Southern Illinois University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42642-020 | WI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Medical SC | Internal Medicine | Current | Accepting new patients |
| Oak Medical SC | Internal Medicine | Current | Accepting new patients |
| Curana Health of Wisconsin Inc | Internal Medicine | Current | 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
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Waukesha, WI
- NPI 1487152104
Internal Medicine
-
- Internal Medicine Physician
- Waukesha, WI
- NPI 1669910345
-
- Internal Medicine Physician
- Hartford, WI
- NPI 1699407890
-
- Internal Medicine Physician
- Hartford, WI
- NPI 1063115319
-
dba Doctors Express Waukesha
- Urgent Care Clinic/Center
- Waukesha, WI
- NPI 1902215189
-
- Health Service Clinic/Center
- Brookfield, WI
- NPI 1386968428
-
- Pain Medicine Physician
- Greenfield, WI
- NPI 1770506669
-
- General Practice Physician
- Milwaukee, WI
- NPI 1639100720
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.