Active NPI
Kulraj Singh Grewal, MD
- Internal Medicine Physician
- Madera, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A185698
- Practice address
- 124 S a St
Madera, CA 93638-3619 - Phone
- (559) 664-4000
- NPI assigned
- May 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | A185698 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | A185698 | CA | Primary |
Addresses
Primary practice location
124 S a St
Madera, CA 93638-3619
Mailing address
730 N I St Ste 104
Madera, CA 93637-3078
Phone (559) 664-4000
Other practice location 1
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2200
Other practice location 2
1303 E Herndon Ave Ste 850
Fresno, CA 93720-3309
Phone (559) 450-5576
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
344 E 6TH St
Madera, CA 93638-3631
Phone (559) 664-4000
720 E Almond Ave
Madera, CA 93637-5691
Phone (559) 664-4000
Hospital & facility affiliations
- Seva Home Health
- Evolve Home Health
- Compassionate Care Home Health Agency, LLC
- California Home Health
- Dignity Home Health Care
- Madera Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A185698 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camarena Health | Current | Accepting new patients | |
| LQMG Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| Saint Agnes Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Camarena Health | Internal Medicine | Current | Accepting new patients |
| Camarena Health | Current | Accepting new patients |
Locations
1111 E Spruce Ave
Ste 431
Fresno, CA 93720
Phone (559) 450-5611
1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777
1303 E Herndon Ave
Ste 850
Fresno, CA 93720
Phone (559) 450-5672
720 E Almond Ave
Madera, CA 93637
Phone (559) 673-5921
124 S A St
Madera, CA 93638
Phone (559) 664-4042
49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724
Interoperability endpoints
- kulraj.grewal.1@25900.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Madera, CA
- NPI 1891778114
Internal Medicine
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1558819482
-
- Federally Qualified Health Center (FQHC)
- Coarsegold, CA
- NPI 1023513538
-
- Federally Qualified Health Center (FQHC)
- Los Banos, CA
- NPI 1114757754
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1437166360
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fresno, CA
- NPI 1629437520
-
- Home Health Agency
- Fresno, CA
- NPI 1609826387
-
- Home Health Agency
- Fresno, CA
- NPI 1467017061
-
- Home Health Agency
- Agoura Hills, CA
- NPI 1104431147
-
- General Acute Care Hospital
- Madera, CA
- NPI 1669673646
-
- Home Health Agency
- Porterville, CA
- NPI 1831706548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1033775812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 N I ST STE 104",
"city": "MADERA",
"state": "CA",
"postal_code": "936373078",
"telephone_number": "559-664-4000",
"fax_number": "559-450-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S A ST",
"city": "MADERA",
"state": "CA",
"postal_code": "936383619",
"telephone_number": "559-664-4000"
}
],
"practiceLocations": [
{
"address_1": "1700 Mount Vernon Ave",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933064018",
"country_code": "US",
"telephone_number": "661-326-2200",
"fax_number": "661-326-2950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1303 E Herndon Ave Ste 850",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203309",
"country_code": "US",
"telephone_number": "559-450-5576",
"fax_number": "559-450-7470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREWAL",
"first_name": "KULRAJ",
"middle_name": "SINGH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-16",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A185698",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A185698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.