Individual provider Active NPI

William H Bartlett, MD

  • Ophthalmology Physician
  • Santa Rosa, CA
National Provider Identifier
1881680171
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G085502 Issued in CA
Practice address
380 Tesconi CT
Santa Rosa, CA 95401-4653
Phone
(707) 544-3375
Fax
(707) 544-0808
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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 G085502 CA Primary

Addresses

Primary practice location

380 Tesconi CT
Santa Rosa, CA 95401-4653

Mailing address

380 Tesconi CT
Santa Rosa, CA 95401-4653
Phone (707) 544-3375

Other identifiers 1

IdentifierTypeStateIssuer
00G855020MedicaidCA

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
I20040504000114 CA Practitioner - Ophthalmology 6204824758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Bay Eye Associates, a Medical CorporationGroup PAC ID 9436147980, 11 clinicians

Practice addresses (Care Compare)

1310 Prentice Dr
Suite F
Healdsburg, CA 95448-5004
Phone (707) 433-9475

35 Maple St
Sonoma, CA 95476-7014
Phone (707) 996-1052

380 Tesconi CT
Santa Rosa, CA 95401-4653
Phone (707) 544-3375

Hospital & facility affiliations

  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G085502CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Bay Eye Associates a Medical Corporation CurrentSince May 1, 2003 Accepting new patients
North Bay Eye Associates a Medical Corporation Ophthalmology CurrentSince May 1, 2003 Accepting new patients
Sonoma Valley Health Care District Past Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
State of California - Department of Developmental Services Past Accepting new patients
Moses & Mouser, M.D.'S, Inc. Ophthalmology Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
SRM Alliance Hospital Services Past Accepting new patients
North Bay Eye Associates, a Medical Corporation Ophthalmology Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

16003 Healdsburg Ave
Healdsburg, CA 95448

1310 Prentice Dr
Ste F
Healdsburg, CA 95448
Phone (707) 433-9475

225 S Main St
Lakeport, CA 95453
Phone (707) 263-0101

104 Lynch Creek Way
Ste 5
Petaluma, CA 94954
Phone (707) 762-3573

380 Tesconi Ct
Santa Rosa, CA 95401
Phone (707) 544-3375

1260 N Dutton Ave
Ste 160
Santa Rosa, CA 95401
Phone (707) 524-2442

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

35 Maple St
Sonoma, CA 95476
Phone (415) 972-4600

545 3rd St W
Sonoma, CA 95476
Phone (707) 996-1052

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1881680171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 TESCONI CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014653",
            "telephone_number": "707-544-3375",
            "fax_number": "707-544-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 TESCONI CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014653",
            "telephone_number": "707-544-3375",
            "fax_number": "707-544-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G085502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G855020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.