Individual provider Active NPI

Jeannine Laramie, MD

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1013938042
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A61150 Issued in CA
Practice address
1515 E Alluvial Ave Ste 103
Fresno, CA 93720-3832
Phone
(559) 900-7048
Fax
(559) 765-4252
NPI assigned
Jul 23, 2006
Last updated
May 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A61150 CA Primary

Addresses

Primary practice location

1515 E Alluvial Ave Ste 103
Fresno, CA 93720-3832

Mailing address

1515 E Alluvial Ave Ste 103
Fresno, CA 93720-3832
Phone (559) 900-7048

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
I20050805000431 CA Practitioner - Family Practice 5092744474 Reassigns benefits to 1 organization
Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1515 E Alluvial Ave
Suite 103
Fresno, CA 93720-3832
Phone (559) 900-7048

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.89 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
59.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61150CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medical Care Inc CurrentSince Jan 31, 2019 Accepting new patients

Locations

1515 E Alluvial Ave
Ste 103
Fresno, CA 93720
Phone (559) 900-7048

Interoperability endpoints

  • Direct secure messaging: jeannine.laramie.1@14324.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1013938042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E ALLUVIAL AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203832",
            "telephone_number": "559-900-7048",
            "fax_number": "559-765-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E ALLUVIAL AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203832",
            "telephone_number": "559-900-7048",
            "fax_number": "559-765-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARAMIE",
        "first_name": "JEANNINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.