Individual provider Active NPI

John R Nelson, MD

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1003908591
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00G504510 Issued in CA
Practice address
7061 N Whitney
Suite 101
Fresno, CA 93720
Phone
(559) 299-0224
Fax
(559) 299-4201
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 00G504510 CA
Internal Medicine Physician 207R00000X 00G504510 CA Primary

Addresses

Primary practice location

7061 N Whitney
Suite 101
Fresno, CA 93720

Mailing address

7061 N Whitney
Suite 101
Fresno, CA 93720
Phone (559) 299-0224

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
I20050613000626 CA Practitioner - Cardiovascular Disease (Cardiology) 9335183284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Louisville School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7061 N Whitney Ave
Suite 101
Fresno, CA 93720-8025

Hospital & facility affiliations

  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

Merit-based Incentive Payment System (MIPS)

Final score
39.01 of 100Reported as individual
Quality
41.67
Improvement activities
0
Cost
74.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00G504510CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Community Hospital and Medical Center CurrentSince Feb 19, 2011 Accepting new patients
John R. Nelson M.D. Inc. Cardiovascular Disease CurrentSince Aug 31, 2019 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Feb 19, 2011 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Cardiac Imaging Inc CurrentSince Jul 30, 2025 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Cardiovascular Disease Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

7061 N Whitney Ave
Ste 101
Fresno, CA 93720
Phone (559) 299-0224

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

Organizations & group practices 7

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1003908591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7061 N WHITNEY",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-299-0224",
            "fax_number": "559-299-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7061 N WHITNEY",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-299-0224",
            "fax_number": "559-299-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "00G504510",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00G504510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.