Individual provider Active NPI

Joseph Prinsen, D.O., PH.D.

  • Internal Medicine Physician
  • Lodi, CA
National Provider Identifier
1790135754
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A19528 Issued in CA
Practice address
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone
(209) 334-3411
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101022490 MI
Internal Medicine Physician 207R00000X A-2292-19 NM
Internal Medicine Physician 207R00000X DO-05466 IA
Internal Medicine Physician 207R00000X 3868 TN
Internal Medicine Physician 207R00000X 0102207828 VA
Hospitalist Physician 208M00000X H90545 MD
Hospitalist Physician 208M00000X 20A19528 CA
Internal Medicine Physician 207R00000X 20A19528 CA Primary

Addresses

Primary practice location

975 S Fairmont Ave
Lodi, CA 95240-5118

Mailing address

220 Mossy Springs Dr
Oakland, TN 38060-3468
Phone (978) 415-9332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, ND, MI, CA, VA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210202001487 MD Practitioner - Hospitalist 7911330832 Reassigns benefits to 1 organization
I20210215001622 ND Practitioner - Internal Medicine 7911330832 Reassigns benefits to 1 organization
I20210622001079 MI Practitioner - Internal Medicine 7911330832 Reassigns benefits to 2 organizations
I20230418002545 CA Practitioner - Hospitalist 7911330832 Reassigns benefits to 1 organization
I20240911003561 VA Practitioner - Internal Medicine 7911330832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5101022490MIMDInternal Medicine Physician
H90545MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Dec 18, 2020 Accepting new patients
St. Alexius Medical Center CurrentSince Dec 18, 2020 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Apr 10, 2023 Accepting new patients
Johns Hopkins University CurrentSince Nov 19, 2020 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Apr 10, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince May 1, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince May 1, 2023 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Johns Hopkins University Internal Medicine CurrentSince Nov 19, 2020 Accepting new patients
Vituity-Virginia Hospitalists PC Hospitalist CurrentSince Aug 23, 2024 Accepting new patients
Johns Hopkins University Current Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
Michigan State University Past Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

600 N Wolfe St
#8134B
Baltimore, MD 21287
Phone (443) 287-3631

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

600 N Wolfe St
Baltimore, MD 21287

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

Interoperability endpoints

  • Direct secure messaging: jprinsen785329@direct.hopkinsmedicine.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1790135754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MOSSY SPRINGS DR",
            "city": "OAKLAND",
            "state": "TN",
            "postal_code": "380603468",
            "telephone_number": "978-415-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405118",
            "telephone_number": "209-334-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINSEN",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101022490",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "A-2292-19",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "DO-05466",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "3868",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102207828",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "H90545",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A19528",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A19528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.