Nathan Robert Elledge, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20A18996 Issued in CA

Practice address

1360 E Herndon Ave Ste 201
Fresno, CA 93720-3326

Phone

(559) 449-5050

NPI assigned

May 11, 2017

Last updated

Apr 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Insight Vision Center Medical Group IncGroup PAC ID 1052219409, 10 clinicians

Camarena HealthGroup PAC ID 4880584317, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresno Surgical Hospital Hospital, Fresno, CA, CCN 050708

Merit-based Incentive Payment System (MIPS)

Final score

88.87 of 100Reported as group

Quality

72.13

Promoting interoperability

80

Improvement activities

40

Cost

77.36

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: nathan.elledge.1@17661.direct.athenahealth.com
• Direct secure messaging: nathan.elledge.p2@direct.californiaeye.nextgenshare.com
• Direct secure messaging: nathan.elledgedo.p2@direct.tayani.nextgenshare.com
• Direct secure messaging: nathan.elledgemd.p1@direct.tayani.nextgenshare.com
• Direct secure messaging: nelledge105431@direct.llu.edu
• Direct secure messaging: nelledge896143@direct.memorialcare.org

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.

• Insight Vision Center Medical Group, Inc.

  dba InSight Vision Center

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1316949506
  Medicare reassignment Care Compare group NPD (past)
• Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Madera, CA
  • NPI 1891778114
  Medicare reassignment Care Compare group
• Eye Medical Clinic of Fresno, Inc.

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1659388700
  Medicare reassignment
• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Ophthalmology Physician
  • Loma Linda, CA
  • NPI 1437109469
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Medical Toxicology (Emergency Medicine) Physician
  • San Bernardino, CA
  • NPI 1487124798
  NPD
• Faculty Physicians and Surgeons of Llusm

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1558788331
  NPD
• Fogg Remington Eyecare Inc

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1023070869
  NPD
• Fogg Remington Eyecare Inc

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1437971082
  NPD
• Keith V. Rundle M.D., Inc.

  • Ophthalmology Physician
  • Orange, CA
  • NPI 1962426304
  NPD
• Ramin Tayani MD Inc

  dba Tayani Eye Institute

  • Ophthalmology Physician
  • San Clemente, CA
  • NPI 1841465986
  NPD
• Eye Medical Clinic of Fresno, Inc

  • Ophthalmology Physician
  • Fresno, CA
  • NPI 1306853452
  NPD (past)

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

• Fresno Surgery Center LP

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205834694
  Care Compare affiliation

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1194252916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 BIRCHWOOD CT",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932301504",
            "telephone_number": "559-940-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 E Herndon Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203326",
            "country_code": "US",
            "telephone_number": "559-449-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 E Spruce Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203372",
            "country_code": "US",
            "telephone_number": "559-449-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLEDGE",
        "first_name": "NATHAN",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A18996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Micheal Elkin
• Andrew Elkins, DDS
• Obadiah Elkins, MD
• Jeremiah Seron Ellard
• Laquista T Ellard
• Lani Lauri Ellingsworth
• Lindsay Danielle Ellington, BS
• Elliot Beach Corp (Beltone Hearing Center)
• Jason Allen Elliot, PA-C
• Elliott a. Schaffzin, M.D. Inc.

• Ophthalmology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.