Active NPI
Ron K. Brathwaite, M.D.
- Family Medicine Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A87445
- Practice address
- 25333 Barton Rd
Loma Linda, CA 92350-0210 - Phone
- (909) 558-6641
- NPI assigned
- Jul 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A87445 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A87445 | CA |
Addresses
Primary practice location
25333 Barton Rd
Loma Linda, CA 92350-0210
Mailing address
File # 54701
Los Angeles, CA 90074-4701
Phone (909) 651-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A874450 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060824000586 | CA | Practitioner - Family Practice | 6406859875 | Reassigns benefits to 3 organizations |
| I20210921003958 | DC | Practitioner - Internal Medicine | 6406859875 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Maryland School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone (301) 203-2250
Hospital & facility affiliations
- Adventist Home Health Services, Inc.
- Adventist Healthcare Fort Washington Medical Ctr
- Adventist Healthcare White Oak Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.91 of 100
- Quality
- 50.88
- Improvement activities
- 40
- Cost
- 69.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Maryland, LLC | Internal Medicine | Current | Accepting new patients |
| Superior Hospitalist Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sycamore Hill Hospitalist Medical Group Inc | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Family Medicine | Current | Accepting new patients |
| Adventist Healthcare Fort Washington Medical Center Inc | Past | Accepting new patients |
Locations
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
25455 Barton Rd
Ste 204B
Loma Linda, CA 92354
Phone (909) 558-6526
1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000
File 54701
Los Angeles, CA 90074
Phone (909) 651-4300
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
11711 Livingston Rd
Ft Washington, MD 20744
Phone (301) 203-2250
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1922598929
DC, Internal Medicine
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
CA
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1780047712
CA, Family Medicine
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
Family Medicine
-
- Anatomic Pathology Physician
- Murrieta, CA
- NPI 1588020432
-
- General Acute Care Hospital
- Ft Washington, MD
- NPI 1932146461
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Silver Spring, MD
- NPI 1598826448
-
- General Acute Care Hospital
- Ft Washington, MD
- NPI 1932146461
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1528086246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE # 54701",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900744701",
"telephone_number": "909-651-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25333 BARTON RD",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923500210",
"telephone_number": "909-558-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATHWAITE",
"first_name": "RON",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A87445",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A87445",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A874450",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.