Active NPI
Stephen Scott Wilmarth, MD
- Ophthalmology Physician
- Roseville, CA
National Provider Identifier
1245240324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G37438
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0042242 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.7 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 37438 | CA | MD | Marriage & Family Therapist |
| G37438 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Vision Technology Ophthalmology Medical Group Inc. | Ophthalmology | Current | Accepting new patients |
| Medical Vision Technology Ophthalmology Medical Group Inc. | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Sacramento, CA
- NPI 1013940519
-
- Ophthalmology Physician
- Roseville, CA
- NPI 1609809144
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.