Individual provider Active NPI

Robert Ertner, MD

  • Anesthesiology Physician
  • Chico, CA
National Provider Identifier
1104876283
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A97004 Issued in CA
Practice address
1531 Esplanade
Chico, CA 95926
Phone
(530) 332-7330
NPI assigned
May 11, 2006
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2006005745 MO
Anesthesiology Physician 207L00000X A97004 CA Primary
Anesthesiology Physician 207L00000X L2876 TX
Addiction Medicine (Anesthesiology) Physician 207LA0401X 2006005745 MO
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 2006005745 MO
Pain Medicine (Anesthesiology) Physician 207LP2900X 2006005745 MO

Addresses

Primary practice location

1531 Esplanade
Chico, CA 95926

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other identifiers 1

IdentifierTypeStateIssuer
00A970040MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040423000184 TX Practitioner - Anesthesiology 1951397025 Reassigns benefits to 1 organization
I20070629000614 CA Practitioner - Anesthesiology 1951397025 Reassigns benefits to 4 organizations
I20230314001274 OR Practitioner - Anesthesiology 1951397025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Texas Tech University Health Science Center School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstate Anesthesiology Partners a Medical CorporationGroup PAC ID 9234238809, 25 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3386
Phone (530) 332-7330

2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.62 of 100Reported as group
Quality
71.38
Promoting interoperability
100
Improvement activities
40
Cost
74.02

Merit-based Incentive Payment System (MIPS)

Final score
45.74 of 100Reported as group
Quality
50.06
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97004CAMDAnesthesiology Physician
2006005745MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coachella Valley Anesthesia a Professional Corporation Anesthesiology CurrentSince Dec 16, 2024 Accepting new patients
Orthopedic Associates of Northern California a Medical Group CurrentSince Dec 1, 2024 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Jul 27, 2022 Accepting new patients
Northstate Anesthesiology Partners a Medical Corporation Anesthesiology CurrentSince Mar 1, 2007 Accepting new patients
Northwest Anesthesia Physicians PC Anesthesiology CurrentSince Feb 13, 2023 Accepting new patients
St John's Regional Medical Center Anesthesiology Past Accepting new patients
Seminole Hospital District of Gaines County Texas Past Accepting new patients
St Johns Regional Medical Center Anesthesiology Past Accepting new patients
Northstar Anesthesia, PA Anesthesiology Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

131 Raley Blvd
Chico, CA 95928
Phone (530) 897-4500

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5678/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rertner15230@enloedirect.org

Organizations & group practices 10

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

Hospital & facility affiliations 2

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1104876283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95926",
            "telephone_number": "530-332-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERTNER",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2006005745",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A97004",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L2876",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "MO",
            "license": "2006005745",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MO",
            "license": "2006005745",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "2006005745",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A970040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.