Individual provider Active NPI

Tushar Ranchod, MD

  • Retina Specialist (Ophthalmology) Physician
  • Walnut Creek, CA
National Provider Identifier
1316003304
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A113274 Issued in CA
Practice address
365 Lennon LN Ste 250
Walnut Creek, CA 94598-5915
Phone
(925) 943-6800
Fax
(925) 943-6880
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 113274 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X A113274 CA Primary

Addresses

Primary practice location

365 Lennon LN Ste 250
Walnut Creek, CA 94598-5915

Mailing address

365 Lennon LN Ste 250
Walnut Creek, CA 94598-5915
Phone (925) 522-8858

Other practice location 1

5980 Stoneridge Dr Ste 117
Pleasanton, CA 94588-2723
Phone (925) 463-8200

Other practice location 2

39055 Hastings St Ste 105
Fremont, CA 94538-1518
Phone (510) 505-1430

Other identifiers 2

IdentifierTypeStateIssuer
94-3064464OtherGROUP TAX ID
GR0030671MedicaidCA

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
I20101227000695 CA Practitioner - Ophthalmology 2769554468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Francisco School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Retina AssociatesGroup PAC ID 8527956580, 8 clinicians

Practice addresses (Care Compare)

39055 Hastings St
Suite 105
Fremont, CA 94538-1518
Phone (510) 505-1430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113274CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Dec 22, 2010 Accepting new patients
Bay Area Retina Associates Retina Specialist Current Accepting new patients
Bay Area Retina Associates, Medical Group Retina Specialist CurrentSince Sep 7, 2010 Accepting new patients
Alameda Health System CurrentSince Dec 22, 2010 Accepting new patients
Alameda Health System Current Accepting new patients
John Muir Health Past Accepting new patients
Associated Retinal Consultants, PC Ophthalmology PastSince Aug 16, 2006 Accepting new patients
William Beaumont Hospital Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
John Muir Health Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
William Beaumont Hospital Past Accepting new patients
John a. Vollmer, MD, PC Past Accepting new patients

Locations

2219 Buchanan Rd
Ste 6
Antioch, CA 94509
Phone (925) 522-8850

4049 Lone Tree Way
Ste Ij
Antioch, CA 94531
Phone (800) 573-8462

1200 Central Blvd
Ste C
Brentwood, CA 94513
Phone (800) 573-8462

20130 Lake Chabot Rd
Ste 303
Castro Valley, CA 94546
Phone (510) 733-1888

39055 Hastings St
Ste 105
Fremont, CA 94538
Phone (510) 505-1430

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

491 30th St
Ste 102
Oakland, CA 94609
Phone (510) 832-6554

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

5980 Stoneridge Dr
Ste 117
Pleasanton, CA 94588
Phone (925) 463-8200

15051 Hesperian Blvd
Ste D
San Leandro, CA 94578
Phone (510) 317-1111

2160 W Grant Line Rd
Ste 240
Tracy, CA 95377
Phone (209) 833-6118

1350 Burton Dr
Ste 210
Vacaville, CA 95687
Phone (707) 359-4642

1460 N Camino Alto
Ste 206
Vallejo, CA 94589
Phone (707) 552-9596

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

122 La Casa Via
Ste 223
Walnut Creek, CA 94598
Phone (925) 933-6190

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tranchod14481@alamedahs.direct-ci.com
  • Direct secure messaging: tranchod161424@hisp.ehr.sutterhealth.org

Organizations & group practices 13

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.

View all 13

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1316003304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LENNON LN STE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985915",
            "telephone_number": "925-522-8858",
            "fax_number": "925-522-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LENNON LN STE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985915",
            "telephone_number": "925-943-6800",
            "fax_number": "925-943-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5980 Stoneridge Dr Ste 117",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945882723",
            "country_code": "US",
            "telephone_number": "925-463-8200",
            "fax_number": "925-463-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39055 Hastings St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381518",
            "country_code": "US",
            "telephone_number": "510-505-1430",
            "fax_number": "510-794-6264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANCHOD",
        "first_name": "TUSHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "113274",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A113274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "94-3064464",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0030671",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.