Individual provider Active NPI

Thomas Alan Hanscom, MD

  • Ophthalmology Physician
  • Santa Monica, CA
National Provider Identifier
1063476448
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G34319 Issued in CA
Practice address
2021 Santa Monica Blvd
Suite # 720E
Santa Monica, CA 90404-2208
Phone
(310) 829-3303
Fax
(310) 829-3301
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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 G34319 CA Primary

Addresses

Primary practice location

2021 Santa Monica Blvd
Suite # 720E
Santa Monica, CA 90404-2208

Mailing address

2021 Santa Monica Blvd
Suite # 720E
Santa Monica, CA 90404-2208
Phone (310) 829-3303

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
I20080520000426 CA Practitioner - Ophthalmology 4587733381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Retina PartnersGroup PAC ID 3274795869, 6 clinicians

Practice addresses (Care Compare)

100 E Thousand Oaks Blvd
Suite 112
Thousand Oaks, CA 91360-5713
Phone (805) 409-0909

16500 Ventura Blvd
Suite 250
Encino, CA 91436-2018
Phone (818) 788-9333

2021 Santa Monica Blvd
Suite 720E
Santa Monica, CA 90404-2170

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as group
Quality
94.1
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G34319CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Retina Associates Medical Group, P.C. Ophthalmology Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: thanscom@retinapart.intellechartdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1063476448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE # 720E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-829-3303",
            "fax_number": "310-829-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD",
            "address_2": "SUITE # 720E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042208",
            "telephone_number": "310-829-3303",
            "fax_number": "310-829-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSCOM",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G34319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.