Individual provider Active NPI

Stephen Scott Wilmarth, MD

  • Ophthalmology Physician
  • Roseville, CA
National Provider Identifier
1245240324
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G37438 Issued in CA
Practice address
1830 Sierra Gardens Dr
#100
Roseville, CA 95661
Phone
(916) 782-2111
Fax
(916) 677-0261
NPI assigned
Aug 9, 2006
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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 G37438 CA Primary

Addresses

Primary practice location

1830 Sierra Gardens Dr
#100
Roseville, CA 95661

Mailing address

1700 Alhambra Blvd
Ste 202
Sacramento, CA 95816
Phone (916) 731-8040

Other identifiers 1

IdentifierTypeStateIssuer
GR0042242MedicaidCA

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
I20100910000183 CA Practitioner - Ophthalmology 9739241381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.7 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
78.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37438CAMDMarriage & Family Therapist
G37438CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Vision Technology Ophthalmology Medical Group Inc. Ophthalmology Current Accepting new patients
Medical Vision Technology Ophthalmology Medical Group Inc. Ophthalmology CurrentSince Jan 1, 1978 Accepting new patients

Locations

1830 Sierra Gardens Dr
Ste 100
Roseville, CA 95661
Phone (916) 782-2111

1700 Alhambra Blvd
Ste 202
Sacramento, CA 95816
Phone (916) 453-2920

Interoperability endpoints

  • Direct secure messaging: swilmarth60580@hisp.ehr.sutterhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1245240324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ALHAMBRA BLVD",
            "address_2": "STE 202",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-731-8040",
            "fax_number": "916-454-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 SIERRA GARDENS DR",
            "address_2": "#100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-782-2111",
            "fax_number": "916-677-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMARTH",
        "first_name": "STEPHEN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G37438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0042242",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.