Active NPI
Phillip A Wolfe, M.D.
- Gastroenterology Physician
- Pleasanton, CA
National Provider Identifier
1710075411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G83272
- Practice address
- 5575 W Las Positas Blvd
Suite 320
Pleasanton, CA 94588-5801 - Phone
- (925) 460-8167
- Fax
- (925) 460-0913
- NPI assigned
- Oct 10, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G83272 | CA | Primary |
Addresses
Primary practice location
5575 W Las Positas Blvd
Suite 320
Pleasanton, CA 94588-5801
Mailing address
5575 W Las Positas Blvd
Suite 320
Pleasanton, CA 94588-5801
Phone (925) 460-8167
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G832720 | Medicaid | CA | |
| G83272 | Other | CA | STATE LICENSE |
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
- Gastroenterology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5575 W Las Positas Blvd
Suite 320
Pleasanton, CA 94588-5804
Phone (925) 460-8167
Hospital & facility affiliations
- Stanford Health Care Tri-Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 19.47 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 64.91
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 148 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 128 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| Stanford Health Care Tri-Valley | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Pleasanton, CA
- NPI 1639137094
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1144389941
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1144389941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1710075411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 W LAS POSITAS BLVD",
"address_2": "SUITE 320",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885801",
"telephone_number": "925-460-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 W LAS POSITAS BLVD",
"address_2": "SUITE 320",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885801",
"telephone_number": "925-460-8167",
"fax_number": "925-460-0913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "PHILLIP",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G83272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G832720",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G83272",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.