Individual provider Active NPI

Troy Elander, MD

  • Ophthalmology Physician
  • Santa Monica, CA
National Provider Identifier
1205858396
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G65935 Issued in CA
Practice address
242 26TH St
Santa Monica, CA 90402-2559
Phone
(310) 393-0634
Fax
(310) 451-4009
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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 G65935 CA Primary

Addresses

Primary practice location

242 26TH St
Santa Monica, CA 90402-2559

Mailing address

242 26TH St
Santa Monica, CA 90402-2559
Phone (310) 393-0634

Other identifiers 3

IdentifierTypeStateIssuer
CK5309OtherCAMEDICARE RAIL ROAD
EC732ZOtherPTAN FOR UCLA
00G659350MedicaidCA

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
I20070907000710 CA Practitioner - Ophthalmology 2769575612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elander Eye Medical Group IncGroup PAC ID 3274577879, 5 clinicians

Practice addresses (Care Compare)

242 26TH St
Santa Monica, CA 90402-2524
Phone (310) 393-0634

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G65935CAMDOphthalmology Physician
65935CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elander Eye Medical Group Inc Ophthalmology CurrentSince Feb 20, 2017 Accepting new patients
Jules Stein Eye Institute Medical Group Past Accepting new patients

Locations

242 26th St
Santa Monica, CA 90402
Phone (310) 393-0634

Organizations & group practices 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1205858396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 26TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022559",
            "telephone_number": "310-393-0634",
            "fax_number": "310-451-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 26TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022559",
            "telephone_number": "310-393-0634",
            "fax_number": "310-451-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELANDER",
        "first_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G65935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "CK5309",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN FOR UCLA",
            "identifier": "EC732Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G659350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.