Individual provider

Frederick Pfalzgraf, M.D.

Rheumatology Physician Medicare enrolled

Frederick Pfalzgraf, M.D. is a Rheumatology Physician in Herrin, IL, registered under NPI 1659385581. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 408 LINCOLN DR SUITE A, Herrin, IL 62948. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

408 LINCOLN DR SUITE A, Herrin, IL 62948 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
036102694 IL Rheumatology Physician primary

This provider holds licence 036102694 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Rheumatology
PAC ID
9032116868

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Illinois I20061108000526 Practitioner - Rheumatology
Missouri I20170131001019 Practitioner - Rheumatology

Medicare enrolment is recorded as approved under the provider type Practitioner - Rheumatology. There are 2 separate enrolment records across 2 states (IL, MO). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Rheumatology covers

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. NUCC Health Care Provider Taxonomy, code 207RR0500X
Allopathic & Osteopathic Physicians Internal Medicine Rheumatology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1659385581 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 28, 2006
Last updatedJun 24, 2020
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 408 LINCOLN DR
SUITE A
Herrin, IL 62948
(618) 993-1408
Mailing address PO BOX 2963
Carbondale, IL 62902
Other identifiers 036102694 · Medicaid (IL)
The last update on file is Jun 24, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1659385581 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 5 9 3 8 5 5 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 1 9 6 8 1 5 7

Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1659385581?
NPI 1659385581 is the National Provider Identifier assigned to Frederick Pfalzgraf, M.D. in Herrin, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Rheumatology cover?
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
How do I contact Frederick Pfalzgraf, M.D.?
The phone number on file with NPPES is (618) 993-1408, last updated Jun 24, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Frederick Pfalzgraf, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1659385581 a valid number?
Yes. 1659385581 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.