Individual provider Active NPI

Jaya Krishna Chintanaboina, MD

  • Gastroenterology Physician
  • Fresno, CA
National Provider Identifier
1144478454
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C156640 Issued in CA
Practice address
7405 N Fresno St
Fresno, CA 93720-2457
Phone
(559) 513-3204
Fax
(559) 438-0477
NPI assigned
Aug 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C156640 CA
Gastroenterology Physician 207RG0100X C156640 CA Primary

Addresses

Primary practice location

7405 N Fresno St
Fresno, CA 93720-2457

Mailing address

7405 N Fresno St
Fresno, CA 93720-2457
Phone (559) 513-3204

Other practice location 1

2335 E Kashian Ln Ste 280
Fresno, CA 93701-2211
Phone (559) 320-1090

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
I20190709000533 CA Practitioner - Gastroenterology 6406908706 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ujagger Singh Dhillon MD Inc a Pro CorpGroup PAC ID 5092979757, 4 clinicians

Practice addresses (Care Compare)

7405 N Fresno St
Fresno, CA 93720-2457
Phone (559) 438-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.79 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.25

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as group
Quality
76.71
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Upper gastrointestinal (GI) endoscopy for acid reflux366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C156640CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ujagger Singh Dhillon MD Inc a Pro Corp Gastroenterology CurrentSince Jul 1, 2023 Accepting new patients
Central California Faculty Medical Group, Inc. Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
University Faculty Associates, Inc. Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Central California Faculty Medical Group, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Family Healthcare Network Past Accepting new patients
Community Health Partners Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

7405 N Fresno St
Fresno, CA 93720
Phone (559) 438-8400

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

290 N Wayte Ln
Ste 2300
Fresno, CA 93701
Phone (594) 595-1935

2335 E Kashian Ln
Ste 280
Fresno, CA 93701
Phone (559) 256-5130

2335 E Kashian Ln
Ste 260
Fresno, CA 93701
Phone (559) 256-5130

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: chintanaboina.jayakrishna.016.0050459@cddc.meditab.direct-ci.com
  • Direct secure messaging: chintanaboina.jayakrishna.014.0050459@cddc.meditab.direct-ci.com

Organizations & group practices 6

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 4

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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1144478454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202457",
            "telephone_number": "559-513-3204",
            "fax_number": "559-438-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202457",
            "telephone_number": "559-513-3204",
            "fax_number": "559-438-0477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 E Kashian Ln Ste 280",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012211",
            "country_code": "US",
            "telephone_number": "559-320-1090",
            "fax_number": "559-320-0331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHINTANABOINA",
        "first_name": "JAYA KRISHNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C156640",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C156640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.