ROBERT CRAIG FETZ M.D. NPI 1306869177

NPI Information

  • NPI: 1306869177
  • Provider Name: ROBERT CRAIG FETZ, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1524 MCHENRY AVE
    SUITE 100
    MODESTO, CA
    ZIP 95350
  • Phone: (209) 577-4444

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NPI Details

Robert Craig Fetz, M.D. is a diagnostic radiology radiology in Modesto, CA with 51 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Robert Craig Fetz, M.D. NPI is 1306869177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:1975

The provider's business location address is:

1524 MCHENRY AVE
SUITE 100
MODESTO, CA
ZIP 95350-500
Phone: (209) 577-4444
Fax: (209) 527-2069

The NPI 1306869177 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyG33114CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G3311411MEDICARE PINCALIFORNIA
200G3311412MEDICARE PINCALIFORNIA
300G3311413MEDICARE PINCALIFORNIA
400G331146MEDICARE PINCALIFORNIA
500G3311410MEDICARE PINCALIFORNIA
600G3311415MEDICARE PINCALIFORNIA
700G331149MEDICARE PINCALIFORNIA
800G331143MEDICARE PINCALIFORNIA
900G331144MEDICARE PINCALIFORNIA
1000G331148MEDICARE PINCALIFORNIA
11300024662MEDICARE PINCALIFORNIA
12A45432MEDICARE UPINCALIFORNIA
1300G331140MEDICAIDCALIFORNIA
1400G331142MEDICARE PINCALIFORNIA
1500G331147MEDICARE PINCALIFORNIA
1600G3311414MEDICARE PINCALIFORNIA
1700G331141MEDICARE PINCALIFORNIA
1800G331145MEDICARE PINCALIFORNIA
1900G331140MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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