Kelly Pfeifer, M.D

NPI: 1083606776

Kelly Pfeifer, M.D

Q: What is Kelly Pfeifer's NPI number?

Kelly Pfeifer's NPI number is 1083606776, a unique 10-digit identifier issued by CMS.

Q: What does Kelly Pfeifer specialize in?

Kelly Pfeifer specializes in Family Medicine, taxonomy code 207Q00000X.

Q: Where does Kelly Pfeifer practice?

Kelly Pfeifer practices in Petaluma, CA 94954-6858.

Q: When was Kelly Pfeifer's NPI issued?

Kelly Pfeifer's NPI was issued on August 18, 2005.

Q: What is Kelly Pfeifer's provider type?

Kelly Pfeifer is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderFamily Medicine

NPI issued: August 18, 2005

Quick Facts

NPI Number

1083606776

TypeIndividual

StatusActive

SpecialtyFamily Medicine

Taxonomy207Q00000X — Family Medicine

Phone

(707) 559-7500

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1083606776)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (August 18, 2005)

Data source: CMS NPPES

Provider Overview

KELLY PFEIFER, M.D is a Family Medicine provider based in Petaluma, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1083606776

Provider TypeIndividual Provider

GenderFemale

CredentialM.D

StatusActive

Enumeration DateAugust 18, 2005

Practice Location

CityPetaluma

StateCA

ZIP Code94954-6858

Phone(707) 559-7500

Specialties & Licenses

★ Primary

SpecialtyFamily Medicine

Taxonomy Code207Q00000X

License StateCA

Mailing Address

CityPetaluma

StateCA

ZIP Code94954-6858

Phone(707) 559-7500

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1083606776 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1083606776for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1083606776 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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