Individual provider Active NPI

Prahalad B Jajodia, MD

  • Gastroenterology Physician
  • Fresno, CA
National Provider Identifier
1114092186
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
00A560840 Issued in CA
Practice address
7085 N Maple Ave
Fresno, CA 93720-8011
Phone
(559) 431-8888
Fax
(559) 447-8400
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 00A560840 CA Primary

Addresses

Primary practice location

7085 N Maple Ave
Fresno, CA 93720-8011

Mailing address

7687 N Kavanagh Ave
Fresno, CA 93711-0362
Phone (559) 273-0600

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
I20040423001323 CA Practitioner - Gastroenterology 4880680701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prahalad B Jajodia MD IncGroup PAC ID 5799848651, 2 clinicians

Practice addresses (Care Compare)

7085 N Maple Ave
Fresno, CA 93720-8011
Phone (559) 431-8888

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy77
Upper gastrointestinal (GI) endoscopy for acid reflux137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00A560840CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Sep 12, 2025 Accepting new patients
Pristine Surgery Center, Inc CurrentSince Jul 6, 2011 Accepting new patients
Prahalad B Jajodia MD Inc Gastroenterology CurrentSince Jan 20, 2009 Accepting new patients
Community Health Centers of America CurrentSince Sep 12, 2025 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

101 N Front St
Chowchilla, CA 93610
Phone (559) 201-9181

7085 N Maple Ave
Fresno, CA 93720
Phone (559) 325-7100

7085 N Maple Ave
Ste 6
Fresno, CA 93720

7085 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-8888

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

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 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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1114092186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7687 N KAVANAGH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110362",
            "telephone_number": "559-273-0600",
            "fax_number": "559-433-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 N MAPLE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208011",
            "telephone_number": "559-431-8888",
            "fax_number": "559-447-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAJODIA",
        "first_name": "PRAHALAD",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "00A560840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.