Individual provider Active NPI

Ann Ranelle, DO

  • Ophthalmology Physician
  • Fort Worth, TX
National Provider Identifier
1427030139
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M2035 Issued in TX
Practice address
5000 Collinwood Ave
Fort Worth, TX 76107-3606
Phone
(817) 732-5593
Fax
(817) 342-0388
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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 M2035 TX Primary

Addresses

Primary practice location

5000 Collinwood Ave
Fort Worth, TX 76107-3606

Mailing address

5000 Collinwood Ave
Fort Worth, TX 76107-3606
Phone (817) 732-5593

Other identifiers 5

IdentifierTypeStateIssuer
7981779OtherTXAETNA
7314728OtherTXCIGNA
1417007527OtherTXBCBS GROUP
M2035OtherTXSTATE MEDICAL LICENSE
1427030139OtherTXBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aranelle@ranelle.updoxdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051029000222 TX Practitioner - Ophthalmology 6406873355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Kansas City, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Worth Eye AssociatesGroup PAC ID 7214195932, 4 clinicians

Practice addresses (Care Compare)

5000 Collinwood Ave
Fort Worth, TX 76107-3606
Phone (817) 732-5593

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
84.48
Improvement activities
40
Cost
79.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2035TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Worth Eye Associates Ophthalmology CurrentSince Apr 15, 2012 Accepting new patients

Locations

3601 W 7th St
Fort Worth, TX 76107

5000 Collinwood Ave
Ft Worth, TX 76107
Phone (817) 594-0914

Interoperability endpoints

  • Direct secure messaging: aranelle33358@cookchildrens.direct-ci.com
  • Direct secure messaging: aer@fwea.emadirect.md

Organizations & group practices 1

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1427030139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COLLINWOOD AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073606",
            "telephone_number": "817-732-5593",
            "fax_number": "817-342-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 COLLINWOOD AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073606",
            "telephone_number": "817-732-5593",
            "fax_number": "817-342-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANELLE",
        "first_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M2035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7981779",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7314728",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "1417007527",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "M2035",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1427030139",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aranelle@ranelle.updoxdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5000 Collinwood Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761073606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.