Individual provider Active NPI

Dorotheea Oana Warmerdam, MD

  • Ophthalmology Physician
  • Sacramento, CA
National Provider Identifier
1033228739
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A96243 Issued in CA
Practice address
3 Park Center Dr Ste 100
Sacramento, CA 95825-8340
Phone
(916) 454-4861
Fax
(916) 454-3603
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A96243 CA Primary

Addresses

Primary practice location

3 Park Center Dr Ste 100
Sacramento, CA 95825-8340

Mailing address

3 Park Center Dr Ste 210
Sacramento, CA 95825-8341
Phone (916) 454-6191

Other practice location 1

5771 Greenback Ln
Sacramento, CA 95841-2013
Phone (916) 339-3655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070104000493 CA Practitioner - Ophthalmology 2961402565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3 Park Ctr Dr
Suite 100
Sacramento, CA 95825-8340
Phone (916) 454-4861

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A96243CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitreo-Retinal Medical Group, Inc. Ophthalmology Current Accepting new patients
Vitreo-Retinal Medical Group, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Vitreo-Retinal Medical Group, Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

3 Park Center Dr
Ste 210
Sacramento, CA 95825
Phone (916) 454-6191

3 Park Center Dr
Ste 100
Sacramento, CA 95825
Phone (916) 454-4861

5775 Greenback Ln
Sacramento, CA 95841
Phone (916) 339-3655

5771 Greenback Ln
Sacramento, CA 95841
Phone (916) 239-2042

Interoperability endpoints

  • Direct secure messaging: dwarmerdam59774@hisp.ehr.sutterhealth.org
  • Direct secure messaging: dorotheea.warmerdam.p1@direct.retinalmd.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1033228739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARK CENTER DR STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958258341",
            "telephone_number": "916-454-6191",
            "fax_number": "916-454-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARK CENTER DR STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958258340",
            "telephone_number": "916-454-4861",
            "fax_number": "916-454-3603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5771 Greenback Ln",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958412013",
            "country_code": "US",
            "telephone_number": "916-339-3655",
            "fax_number": "916-339-3658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARMERDAM",
        "first_name": "DOROTHEEA",
        "middle_name": "OANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A96243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.