Individual provider Active NPI

Kulraj Singh Grewal, MD

  • Internal Medicine Physician
  • Madera, CA
National Provider Identifier
1033775812
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A185698 Issued in CA
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

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230509000165 CA Practitioner - Internal MedicinePractitioner - Hospitalist 7012372485 Reassigns benefits to 2 organizations

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
Camarena HealthGroup PAC ID 4880584317, 79 clinicians

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 Home health agency, Porterville, CA, CCN 059544
  • Evolve Home Health Home health agency, Canoga Park, CA, CCN 753175
  • Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
  • California Home Health Home health agency, Fresno, CA, CCN 553112
  • Dignity Home Health Care Home health agency, Fresno, CA, CCN 559417
  • Madera Community Hospital Hospital, Madera, CA, CCN 050856

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A185698CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Jul 18, 2023 Accepting new patients
LQMG Medical Group Inc. Internal Medicine Current Accepting new patients
Saint Agnes Medical Foundation Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Camarena Health Internal Medicine Current Accepting new patients
Camarena Health CurrentSince Jul 18, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.