Individual provider Active NPI

Randal E Schafer, MD

  • Surgery Physician
  • Ukiah, CA
National Provider Identifier
1215925334
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G55726 Issued in CA
Practice address
246 Hospital Dr
Ukiah, CA 95482-4533
Phone
(707) 463-8011
Fax
(707) 463-8044
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00039196 WA
Surgery Physician 208600000X G55726 CA Primary

Addresses

Primary practice location

246 Hospital Dr
Ukiah, CA 95482-4533

Mailing address

246 Hospital Dr
Ukiah, CA 95482-4533
Phone (707) 463-8011

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
I20150506001272 CA Practitioner - General Surgery 2860598943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loma Linda University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians

Practice addresses (Care Compare)

246 Hospital Dr
Ukiah, CA 95482-4533
Phone (707) 463-8011

Hospital & facility affiliations

  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
82.56
Promoting interoperability
93
Improvement activities
40
Cost
69.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55726CAMDSurgery Physician
MD00039196WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ukiah Adventist Hospital CurrentSince Sep 1, 2015 Accepting new patients
Ukiah Adventist Hospital CurrentSince Sep 1, 2015 Accepting new patients

Locations

260 Hospital Dr
Ste 207
Ukiah, CA 95482
Phone (707) 463-7627

260 Hospital Dr
Ste 204
Ukiah, CA 95482
Phone (707) 463-8032

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1050 N State St
Ukiah, CA 95482
Phone (707) 463-7488

246 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-1928

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1215925334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824533",
            "telephone_number": "707-463-8011",
            "fax_number": "707-463-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824533",
            "telephone_number": "707-463-8011",
            "fax_number": "707-463-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "RANDAL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00039196",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G55726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.