Individual provider Active NPI

Robert Thomas Wendel, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Sacramento, CA
National Provider Identifier
1235234634
Registry record updated Apr 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
G043291 Issued in CA
Practice address
3939 J St
Suite 106
Sacramento, CA 95819-3631
Phone
(916) 454-6191
Fax
(916) 454-1036
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G43291 CA
Ophthalmology Physician 207W00000X 6988 NV
Retina Specialist (Ophthalmology) Physician 207WX0107X G043291 CA Primary

Addresses

Primary practice location

3939 J St
Suite 106
Sacramento, CA 95819-3631

Mailing address

3939 J St
Suite 104
Sacramento, CA 95819-3631
Phone (916) 454-6191

Other identifiers 4

IdentifierTypeStateIssuer
0199874OtherWADEPT. OF LABOR WASHINGTON
00G432910OtherCABLUE SHIELD
00G432910MedicaidCA
180009834OtherCARAILROAD MEDICARE

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
I20050118000696 CA Practitioner - Ophthalmology 5395632889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1870 Lassen Blvd
Suite B
Yuba City, CA 95993-9455
Phone (530) 273-8358

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6988NVMDOrthodontics and Dentofacial Orthopedic Dentist
G43291CAMDOphthalmology Physician
G043291CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitreo-Retinal Medical Group, Inc. Ophthalmology Current Accepting new patients
Vitreo-Retinal Medical Group, Inc Retina Specialist CurrentSince Dec 31, 1985 Accepting new patients
Vitreo-Retinal Medical Group, Inc. Ophthalmology CurrentSince Dec 31, 1985 Accepting new patients
Dignity Health Past Accepting new patients
Northbay Healthcare Group Past Accepting new patients
St. Joseph'S Hospital, Inc. Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Capitol Urology Medical Group Inc Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

460 W East Ave
Ste 110
Chico, CA 95926
Phone (530) 899-2244

2460 Beacon St
Chico, CA 95928
Phone (530) 899-2251

19 Ilahee Ln
Chico, CA 95973
Phone (530) 746-0711

9381 E Stockton Blvd
Ste 106
Elk Grove, CA 95624
Phone (916) 454-6191

2470 Hilborn Rd
Ste 150
Fairfield, CA 94534
Phone (707) 446-7676

2330 E Bidwell St
Ste 200
Folsom, CA 95630
Phone (916) 293-9381

300 Sierra College Dr
Ste 265
Grass Valley, CA 95945
Phone (530) 271-7070

4712 Stoddard Rd
Ste 180
Modesto, CA 95356
Phone (209) 549-8444

1401 Spanos Ct
Ste 223
Modesto, CA 95355
Phone (209) 549-8444

1680 E Roseville Pkwy
Ste 140
Roseville, CA 95661
Phone (916) 774-0100

3 Park Center Dr
Ste 100
Sacramento, CA 95825
Phone (916) 454-4861

5775 Greenback Ln
Ste 100
Sacramento, CA 95841

3939 J St
Ste 104
Sacramento, CA 95819
Phone (916) 453-4768

3939 J St
Ste 106
Sacramento, CA 95819
Phone (916) 454-4861

5775 Greenback Ln
Sacramento, CA 95841
Phone (916) 339-3655

3 Park Center Dr
Ste 210
Sacramento, CA 95825
Phone (916) 454-6191

3555 Deer Park Dr
Ste 180
Stockton, CA 95219
Phone (209) 461-3390

1805 N California St
Ste 406
Stockton, CA 95204
Phone (209) 227-7806

1870 Lassen Blvd
Ste B
Yuba City, CA 95993
Phone (530) 273-8358

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: robert.wendel@direct.retinalmd.nextgenshare.com

Organizations & group practices 11

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491091200000",
    "number": "1235234634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 J ST",
            "address_2": "SUITE 104",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193631",
            "telephone_number": "916-454-6191",
            "fax_number": "916-454-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 J ST",
            "address_2": "SUITE 106",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193631",
            "telephone_number": "916-454-6191",
            "fax_number": "916-454-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEL",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G43291",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "6988",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "G043291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR WASHINGTON",
            "identifier": "0199874",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G432910",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G432910",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180009834",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.