NPIMap

Individual provider Active NPI

Kanwar Tejinder Paul Singh Mahal, M.D.

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1154455806
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A88928 Issued in CA
Practice address
7710 N Fresno St # 102
#102
Fresno, CA 93720-2403
Phone
(559) 437-9100
Fax
(559) 437-9111
NPI assigned
Mar 15, 2007
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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 A88928 CA Primary

Addresses

Primary practice location

7710 N Fresno St # 102
#102
Fresno, CA 93720-2403

Mailing address

7710 N Fresno St # 102
Fresno, CA 93720-2403
Phone (559) 437-9100

Other identifiers 1

IdentifierTypeStateIssuer
BZ039ZMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090831000186 CA Practitioner - Family PracticePractitioner - Internal Medicine 3274633037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kanwar T Mahal, MD Inc.Group PAC ID 8729131222, 2 clinicians

Practice addresses (Care Compare)

7710 N Fresno St
Suite 102
Fresno, CA 93720-2579
Phone (559) 437-9100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.04 of 100Reported as group
Quality
73.05
Improvement activities
40
Cost
79.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88928CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mahal.kanwar.005.0050480@ktmm.meditab.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1154455806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 N FRESNO ST # 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202403",
            "telephone_number": "559-437-9100",
            "fax_number": "559-437-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 N FRESNO ST # 102",
            "address_2": "#102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202403",
            "telephone_number": "559-437-9100",
            "fax_number": "559-437-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAL",
        "first_name": "KANWAR",
        "middle_name": "TEJINDER PAUL SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BZ039Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.