Individual provider Active NPI

Patrick Pfau, D.O.

  • Anesthesiology Physician
  • Sandy, UT
National Provider Identifier
1790199776
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
13362826-1204 Issued in UT
Practice address
9660 S 1300 E
Sandy, UT 84094-3793
Phone
(801) 501-2600
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OP61540620 WA
Anesthesiology Physician 207L00000X 13362826-1204 UT Primary

Addresses

Primary practice location

9660 S 1300 E
Sandy, UT 84094-3793

Mailing address

3340 N Center St Ste 800
Lehi, UT 84043-7406

Other practice location 1

1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341

Other identifiers 1

IdentifierTypeStateIssuer
2280481MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NJ, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230822000897 UT Practitioner - Anesthesiology 0941662001 Reassigns benefits to 1 organization
I20240826000989 NJ Practitioner - Anesthesiology 0941662001 Reassigns benefits to 2 organizations
I20241126000312 NY Practitioner - Anesthesiology 0941662001 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000

30 Prospect Ave
Hackensack, NJ 07601-1914
Phone (201) 488-0066

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Bariatric Surgery Group PLLC CurrentSince Dec 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Mountain West Anesthesia LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Sep 20, 2024 Accepting new patients
Premier Bariatric New Jersey PC CurrentSince Dec 1, 2025 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. Past Accepting new patients

Locations

1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213

1680 State Route 23
Ste 180
Wayne, NJ 07470
Phone (484) 934-1070

3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446

340 Broadhollow Rd
Ste 2
Farmingdale, NY 11735

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1200 W Broadway
Ste 9
Hewlett, NY 11557
Phone (800) 633-8446

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

120 E Main St
Huntington, NY 11743
Phone (631) 300-2484

1345 Motor Pkwy
Fl 1
Islandia, NY 11749
Phone (631) 855-1200

233 W Route 59
Ste 103
Nanuet, NY 10954

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

646 Park Ave
New York, NY 10065
Phone (212) 249-0404

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

55 Medford Ave
Unit D
Patchogue, NY 11772
Phone (631) 475-3020

715 Roanoke Ave
Ste 1
Riverhead, NY 11901
Phone (631) 963-4750

125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800

1441 South Ave
Ste 205
Staten Island, NY 10314

560 Sunrise Hwy
West Islip, NY 11795

2 Crosfield Ave
Ste 208
West Nyack, NY 10994
Phone (845) 348-9400

3340 N Center St
Ste 800
Lehi, UT 84043
Phone (800) 501-4788

150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056

9660 S 1300 E
Sandy, UT 84094
Phone (801) 314-2417

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

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 3

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1790199776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 N CENTER ST STE 800",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840437406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943793",
            "telephone_number": "801-501-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 S J St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054933",
            "country_code": "US",
            "telephone_number": "253-426-6341",
            "fax_number": "253-426-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFAU",
        "first_name": "PATRICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "OP61540620",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "13362826-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2280481",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.