Active NPI
Philip A Rettenmaier, DO
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- 02001284A
- 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
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 |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- Quality
- 77.41
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02001284A | IN | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cameron Memorial Community Hospital, Inc | Current | Accepting new patients | |
| Quality Plus Care Inc | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc. | Current | Accepting new patients | |
| Evocare Wound Solutions PA | Current | Accepting new patients | |
| Cameron Memorial Community Hospital Inc | Past | Accepting new patients | |
| Indiana Wound Care, P.C. | Undersea and Hyperbaric Medicine | Past | 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
- 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Chicago, IL
- NPI 1922827872
IN
-
- Family Medicine Physician
- Angola, IN
- NPI 1770521478
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
- Home Health Agency
- Chicago, IL
- NPI 1336332246
-
- Rural Health Clinic/Center
- Angola, IN
- NPI 1326531179
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Fort Wayne, IN
- NPI 1619950185
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.