DR. NATHANIEL WOLKENFELD (M.D.) – Surgery Physician, NPI 1023317351
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
771 GENERAL SURGERY in AZ
Provider Addresses for DR. NATHANIEL WOLKENFELD (M.D.)
12647 KILLION ST
NORTH HOLLYWOOD, CA 91607
Phone: (818) 601-6618
Type: Mailing
5171 S CUB LAKE RD STE C350
SHOW LOW, AZ 859017820
Phone: (928) 537-8285
Fax: (928) 537-3363
Type: Location
PO BOX 2129
ODESSA, TX 797602129
Phone: (432) 640-2408
Type: Mailing
2400 Bath St
Santa Barbara, CA 93105
Phone: (805) 682-7111
Type: Location
5171 S Cub Lake Rd Ste C350
Show Low, AZ 859017820
Phone: (928) 537-8285
Fax: (928) 537-3363
Type: Location
500 W 4th St
Odessa, TX 797615001
Phone: (432) 640-4172
Type: Location
7255 BARKSDALE LN
ODESSA, TX 797658627
Phone: (520) 255-4800
Type: Mailing
540 W 5TH ST STE 470
ODESSA, TX 797615070
Phone: (432) 580-8330
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-05-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210526000605 | I | General Surgery | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91607)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | CA | 11042 | Removal of skin and tissue first 20 sq cm or less | 23 | 12 |
| GENERAL SURGERY | CA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 32 | 32 |
| GENERAL SURGERY | CA | 45378 | Diagnostic examination of large bowel using an endoscope | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | TX | |
| Diagnostic Radiology | TX | |
| Critical Care (Intensivists), Internal Medicine | TX | |
| Internal Medicine | NE | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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