NPIMap

Individual provider Active NPI

Rangram Chandran, MD

  • Ophthalmology Physician
  • Modesto, CA
National Provider Identifier
1194714642
Registry record updated Nov 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A81157 Issued in CA
Practice address
304 Banner CT
Suite 1
Modesto, CA 95356-9194
Phone
(209) 572-2020
Fax
(209) 572-4000
NPI assigned
Oct 18, 2005
Last updated
Nov 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 A81157 CA Primary

Addresses

Primary practice location

304 Banner CT
Suite 1
Modesto, CA 95356-9194

Mailing address

PO Box 576067
Modesto, CA 95357-6067
Phone (209) 572-2020

Other identifiers 2

IdentifierTypeStateIssuer
CA134886OtherMEDICARE PTAN
00A811570MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624000496 CA Practitioner - Ophthalmology 1951387745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

304 Banner CT
Suite 1
Modesto, CA 95356-9194
Phone (209) 572-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81157CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients
Central Valley Eye Medical Group Inc. Ophthalmology Past Accepting new patients
PHC-Las Cruces Inc Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients
Southwest Retina Consultants, P.a. PastSince Jul 13, 1992 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rchandran@advancedretinainstitute.updoxdirect.com

Organizations & group practices 7

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417132800000",
    "number": "1194714642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576067",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953576067",
            "telephone_number": "209-572-2020",
            "fax_number": "209-572-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 BANNER CT",
            "address_2": "SUITE 1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569194",
            "telephone_number": "209-572-2020",
            "fax_number": "209-572-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAN",
        "first_name": "RANGRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2014-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A81157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA134886",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A811570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.