Individual provider Active NPI

Philip A Rettenmaier, DO

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fort Wayne, IN
National Provider Identifier
1871593418
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
02001284A Issued in IN
Practice address
1355 Getz Rd Ste C
Fort Wayne, IN 46804-1609
Phone
(260) 413-5879
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 02001284A IN Primary

Addresses

Primary practice location

1355 Getz Rd Ste C
Fort Wayne, IN 46804-1609

Mailing address

1355 Getz Rd Ste C
Fort Wayne, IN 46804-1609
Phone (260) 413-5879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20091218000191 IN Practitioner - Undersea and Hyperbaric MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Preventive Medicine 1658345400 Reassigns benefits to 3 organizations
I20250924000654 IL Practitioner - General Practice 1658345400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undersea and Hyperbaric Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cameron Memorial Community Hospital IncGroup PAC ID 9234020835, shared by 8 NPIs, 83 clinicians
Evocare Wound Solutions PAGroup PAC ID 5597292011, 13 clinicians

Practice addresses (Care Compare)

306 E Maumee St
Suite 104
Angola, IN 46703-2035
Phone (260) 667-5790

400 N May St
Suite 101
Chicago, IL 60642-6495
Phone (312) 498-6616

Hospital & facility affiliations

  • Cameron Health Hospital, Angola, IN, CCN 151315
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as apm
Quality
77.41
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001284AINMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Memorial Community Hospital, Inc CurrentSince Aug 12, 2025 Accepting new patients
Quality Plus Care Inc CurrentSince Jul 13, 2025 Accepting new patients
Cameron Memorial Community Hospital, Inc. CurrentSince Aug 12, 2025 Accepting new patients
Evocare Wound Solutions PA CurrentSince Apr 15, 2025 Accepting new patients
Cameron Memorial Community Hospital Inc Past Accepting new patients
Indiana Wound Care, P.C. Undersea and Hyperbaric Medicine PastSince May 5, 2003 Accepting new patients

Locations

400 N May St
Ste 101
Chicago, IL 60642
Phone (312) 498-6616

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

306 E Maumee St
Ste 104
Angola, IN 46703
Phone (260) 667-5790

5635 W 96th St
Ste 300
Indianapolis, IN 46278
Phone (317) 733-9454

Interoperability endpoints

  • Direct secure messaging: prettenmaier8477@direct.parkviewexchange.com

Organizations & group practices 6

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1871593418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 GETZ RD STE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041609",
            "telephone_number": "260-413-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 GETZ RD STE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041609",
            "telephone_number": "260-413-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTENMAIER",
        "first_name": "PHILIP",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "IN",
            "license": "02001284A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.