Reuben Makala Anders, MD
Individual provider Active NPI Dermatology Physician · Sonoma, CA
NPI 1922029271 · NPPES record last updated Aug 26, 2020
Key facts
- NPI
- 1922029271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- A79025 (CA)
- Practice address
- 461 7TH St W Ste 3
Sonoma, CA 95476-5976 - Phone
- (707) 938-1423
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Loma Linda University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- R Makala Anders MD Medical Corporation
Practice addresses (Care Compare)
461 7TH St W
Suite 3
Sonoma, CA 95476-5976
Phone (707) 938-1423
Hospital & facility affiliations
- Sonoma Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.73 of 100
- Quality
- 93.47
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 34 |
| Removal of skin lesions | 1849 |
| Removal of skin cancer | 179 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 505 |
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 |
|---|---|---|---|---|
| I20071213000497 | CA | Practitioner - Dermatology | 6204854979 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A79025 | CA | MD | Dermatology Physician |
| MD00046746 | WA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R Makala Anders MD Medical Corporation | Dermatology | Current |
Accepting new patients |
| N. Charles Diakon D.O. a.P.C | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients |
Locations
3020 Beard Rd
Napa, CA 94558
Phone (707) 252-1393
999 Adams St
Ste 201
Saint Helena, CA 94574
Phone (707) 963-5294
830 2nd St
#A
Santa Rosa, CA 95404
Phone (707) 380-1838
864 2nd St
#B
Santa Rosa, CA 95404
Phone (707) 542-5664
461 7th St W
Ste 3
Sonoma, CA 95476
Phone (707) 938-1423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD00046746 | WA | |
| Dermatology Physician | 207N00000X | MD-13554 | HI | |
| Dermatology Physician | 207N00000X | A79025 | CA | Yes |
Addresses
Primary practice location
461 7TH St W Ste 3
Sonoma, CA 95476-5976
Mailing address
461 7TH St W Ste 3
Sonoma, CA 95476-5976
Phone (707) 938-1423
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8463564 | Medicaid | WA | |
| 00A790250 | Other | CA | MEDICARE PTAN |
| 7590826 | Other | WA | AETNA# |
| 3298AN | Other | WA | BLUE SHIELD # |
Other providers in Sonoma, CA
- Kathy Allard
- Mayra G Alvarez Mozqueda
- Dominic Paul Amara
- Lee Noel Amari
- Amedisys California LLC
- Douglas Anderson
- Stacie Anderson
- Arc Therapy Services, LLC
- Robert Arguelles
- Rebekka Anne Armstrong
All providers in Sonoma, CA · Dermatology 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 Aug 26, 2020. 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.