Individual provider Active NPI

Thomas Edward Griffin, M.D.

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1023038031
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G37512 Issued in CA
Practice address
1379 E Herndon Ave
Fresno, CA 93720-3309
Phone
(559) 435-2630
Fax
(559) 435-4319
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G37512 CA Primary

Addresses

Primary practice location

1379 E Herndon Ave
Fresno, CA 93720-3309

Mailing address

1379 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 435-2630

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
I20080702000196 CA Practitioner - Internal Medicine 4981505690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians

Practice addresses (Care Compare)

7202 N Millbrook Ave
Suite 105
Fresno, CA 93720-3341
Phone (559) 450-4463

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.57 of 100Reported as group
Quality
63.43
Promoting interoperability
98
Improvement activities
40
Cost
77.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Foundation Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Internal Medicine Specialists Medical Group, Inc. Internal Medicine CurrentSince Jun 1, 2013 Accepting new patients
LQMG Medical Group Inc. Internal Medicine Current Accepting new patients

Locations

1515 E Alluvial Ave
#101
Fresno, CA 93720
Phone (559) 299-1515

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

7138 N Millbrook Ave
Ste 105
Fresno, CA 93720
Phone (559) 436-0440

1379 E Herndon Ave
Fresno, CA 93720
Phone (559) 435-2630

7202 N Millbrook Ave
Ste 105
Fresno, CA 93720
Phone (559) 450-4463

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1515 E Alluvial Ave
Ste 101
Fresno, CA 93720
Phone (559) 435-0339

Interoperability endpoints

  • Direct secure messaging: tgriffin2712451@direct.trinity-health.org

Organizations & group practices 3

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 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023038031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203309",
            "telephone_number": "559-435-2630",
            "fax_number": "559-435-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203309",
            "telephone_number": "559-435-2630",
            "fax_number": "559-435-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G37512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.