FREDERICK WILLIAM PENCZAK MD NPI 1841379070

NPI Information

  • NPI: 1841379070
  • Provider Name: FREDERICK WILLIAM PENCZAK, MD
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 78 CREEKSIDE DR
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (707) 939-7411

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NPI Details

Frederick William Penczak, MD is a surgery in San Rafael, CA with 27 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Frederick William Penczak, MD NPI is 1841379070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF PENNSYLVANIA
Graduation Year:1999

The provider's business location address is:

78 CREEKSIDE DR
SAN RAFAEL, CA
ZIP 94903-055
Phone: (707) 939-7411
Fax: (707) 939-1617

The NPI 1841379070 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.

  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (HCPCS:27236)
  • Treatment of broken neck of thigh bone with bone implant (HCPCS:27245)
  • Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)
  • Spinal fusion (HCPCS:NAN02)
  • Mastectomy (HCPCS:NAN04)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 11/6/2006 and was last updated on 4/25/2014.

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
1208600000XSurgery00A685120CALIFORNIAYes

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
100A685120MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
200A685120MEDICAIDCALIFORNIA
3H04454MEDICARE UPIN

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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