Individual provider Active NPI

Robert T Wankmuller Jr., M.D.

  • Diagnostic Radiology Physician
  • Yuba City, CA
National Provider Identifier
1639157167
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G74319 Issued in CA
Practice address
945 Shasta St
Yuba City, CA 95991-4114
Phone
(530) 671-8564
Fax
(530) 671-8592
NPI assigned
Jan 5, 2006
Last updated
Apr 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G74319 CA Primary

Addresses

Primary practice location

945 Shasta St
Yuba City, CA 95991-4114

Mailing address

945 Shasta St
Yuba City, CA 95991-4114
Phone (530) 645-5338

Other identifiers 3

IdentifierTypeStateIssuer
300035246OtherRAILROAD MEDICARE
300129511OtherMEDICARE ID
00G743190MedicaidCA

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
I20080716000543 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6901902881 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Creighton University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rideout Memorial HospitalGroup PAC ID 9234036088, 88 clinicians
Rideout Medical Associates IncGroup PAC ID 1658524467, 3 clinicians

Practice addresses (Care Compare)

1007 Live Oak Blvd
Suite B2
Yuba City, CA 95991-3454
Phone (530) 671-8718

370 Del Norte Ave
Yuba City, CA 95991-4142

520 Bogue Rd
Yuba City, CA 95991-9242
Phone (530) 844-5660

726 4TH St
Marysville, CA 95901-5656
Phone (530) 740-1900

945 Shasta St
Suite 150
Yuba City, CA 95991-4124
Phone (530) 751-5410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74319CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 1, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 1, 2024 Accepting new patients
Sutter Buttes Imaging Medical Group, Inc. CurrentSince Jul 14, 1997 Accepting new patients
Rideout Memorial Hospital CurrentSince Apr 1, 2022 Accepting new patients
Rideout Medical Associates, Inc. CurrentSince Dec 1, 2017 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Sutter Buttes MRI PastSince Dec 1, 2006 Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1007 Live Oak Blvd
Ste B2
Yuba City, CA 95991
Phone (530) 671-8718

1531 Plumas Ct
Ste B
Yuba City, CA 95991
Phone (530) 674-2434

945 Shasta St
Yuba City, CA 95991
Phone (530) 671-1780

945 Shasta St
Ste 150
Yuba City, CA 95991
Phone (530) 751-5140

970 Plumas St
Yuba City, CA 95991
Phone (530) 491-9491

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1639157167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 SHASTA ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914114",
            "telephone_number": "530-645-5338",
            "fax_number": "530-645-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SHASTA ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914114",
            "telephone_number": "530-671-8564",
            "fax_number": "530-671-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANKMULLER",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G74319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300035246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "300129511",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G743190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.