Active NPI
Donald Calvin Fletcher, M.D.
- Ophthalmology Physician
- San Francisco, CA
National Provider Identifier
1689633638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 04-33631
- Practice address
- 2340 Clay St # 514
San Francisco, CA 94115-1932 - Phone
- (415) 600-3901
- Fax
- (415) 600-3949
- NPI assigned
- Mar 20, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 04-33631 | KS | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 10260037-1205 | UT | |
| Ophthalmology Physician | 207W00000X | ME0052066 | FL | |
| Ophthalmology Physician | 207W00000X | G56961 | CA | |
| Ophthalmology Physician | 207W00000X | 04-33631 | KS | Primary |
Addresses
Primary practice location
2340 Clay St # 514
San Francisco, CA 94115-1932
Mailing address
250 W Douglas Ave Apt 2516
Wichita, KS 67202-3119
Phone (650) 346-7760
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063296100 | Medicaid | FL | |
| 180022165 | Other | FL | RAILROAD MEDICARE |
| CA7010 | Other | FL | RAILROAD MEDICARE GROUP |
| 374440000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
610 N Main St
Wichita, KS 67203-3618
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13672 | AL | MD | Pharmacist |
| 10260037-1205 | UT | MD | Addiction Medicine (Family Medicine) Physician |
| G56961 | CA | MD | Ophthalmology Physician |
| ME0052066 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald C Fletcher MD LLC | Ophthalmology | Current | Accepting new patients |
| Bert M. Glaser National Retina Institute, LLC | Ophthalmology | Past | Accepting new patients |
| Retina Vitreous Consultants | Ophthalmology | Past | Accepting new patients |
| Retina Specialists of North Alabama LLC | Ophthalmology | Past | Accepting new patients |
| The Health Care Authority of the City of Huntsville | Past | Accepting new patients |
Locations
610 N Main St
Fl 2
Wichita, KS 67203
Phone (316) 440-1600
Interoperability endpoints
- donald.fletcher.p1@direct.nri.nextgenshare.com
- donald.fletcher.p1@direct.californiaeye.nextgenshare.com
Organizations & group practices 5
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.
-
- Physical Medicine & Rehabilitation Physician
- Wichita, KS
- NPI 1750614293
Ophthalmology
-
- Ophthalmology Physician
- Towson, MD
- NPI 1962456780
-
- Ophthalmology Physician
- Huntsville, AL
- NPI 1194760652
-
- Ophthalmology Physician
- Ft Lauderdale, FL
- NPI 1699773796
-
- Psychiatry Physician
- Huntsville, AL
- NPI 1760400535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1689633638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W DOUGLAS AVE APT 2516",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023119",
"telephone_number": "650-346-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 CLAY ST # 514",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941151932",
"telephone_number": "415-600-3901",
"fax_number": "415-600-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "DONALD",
"middle_name": "CALVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "KS",
"license": "04-33631",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "UT",
"license": "10260037-1205",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME0052066",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G56961",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KS",
"license": "04-33631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063296100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180022165",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CA7010",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374440000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.