Robert Mark Wertz, MD
Individual provider Active NPI Diagnostic Radiology Physician · Roseville, CA
NPI 1669812913 · NPPES record last updated Jan 19, 2023
Key facts
- NPI
- 1669812913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- A182591 (CA)
- Practice address
- 1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941 - Phone
- (916) 771-1469
- Fax
- (916) 966-5063
- NPI assigned
- Jul 1, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Drexel University College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dignity Health Medical Foundation
Practice addresses (Care Compare)
1380 Lead Hill Blvd
Suite 100
Roseville, CA 95661-2997
Phone (916) 535-2030
Hospital & facility affiliations
- Mercy San Juan Medical Center
- Mercy Medical Center Redding
- Mercy General Hospital
- Mercy Hospital of Folsom
- Woodland Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230119002859 | CA | Practitioner - Diagnostic Radiology | 1254641137 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A182591 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Prohealth Waukesha Memorial Hospital, Inc. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Prohealth Oconomowoc Memorial Hospital, Inc. | Past | Accepting new patients | |
| University Health Services,Inc | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
2020 Court St
Redding, CA 96001
Phone (530) 243-1236
2380 Bechelli Ln
Redding, CA 96002
Phone (530) 226-1800
2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
1380 Lead Hill Blvd
Ste 100
Roseville, CA 95661
Phone (916) 535-2030
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A182591 | CA | Yes |
Addresses
Primary practice location
1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other providers in Roseville, CA
- Wellspace Health
- Wellspace Health
- Wellspace Health
- Caitlyn Werner
- Olivia Zieve Wernick
- Linda Ann Wesely
- West Coast Psychiatry Associates, PC
- West Oak Dermatology Inc
- Terri West
- Sherrilyn Robertson Westbrook
All providers in Roseville, CA · Diagnostic Radiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.