Individual provider Active NPI

Supriya Gerardine, M.D.

  • Nephrology Physician
  • Fresno, CA
National Provider Identifier
1205217494
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A176112 Issued in CA
Practice address
568 E Herndon Ave Ste 201
Fresno, CA 93720-2989
Phone
(559) 228-6600
Fax
(559) 226-3709
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A176112 CA Primary

Addresses

Primary practice location

568 E Herndon Ave Ste 201
Fresno, CA 93720-2989

Mailing address

568 E Herndon Ave Ste 201
Fresno, CA 93720-2989
Phone (559) 228-6600

Other practice location 1

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 443-2682

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
I20220623003075 CA Practitioner - NephrologyPractitioner - Internal Medicine 4789923236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nephrology Group IncGroup PAC ID 4688767262, 50 clinicians

Practice addresses (Care Compare)

568 E Herndon Ave
Suite 201
Fresno, CA 93720-2989
Phone (559) 228-9660

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as group
Quality
43.03
Promoting interoperability
0
Improvement activities
40
Cost
72.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176112CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nephrology Group, Inc. Nephrology CurrentSince Jul 1, 2022 Accepting new patients
The Nephrology Group, Inc. Clinical Lab CurrentSince Jul 1, 2022 Accepting new patients
Community Medical Center, Inc. Past Accepting new patients

Locations

568 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 228-9660

568 E Herndon Ave
Ste 104
Fresno, CA 93720

900 N Douty St
#B
Hanford, CA 93230
Phone (559) 325-7775

800 N St
Sanger, CA 93657
Phone (559) 875-5545

1205 Evergreen St
Selma, CA 93662
Phone (559) 896-2342

1122 Rose Ave
Ste 2
Selma, CA 93662

233 E Caldwell Ave
Visalia, CA 93277
Phone (559) 475-0431

Organizations & group practices 3

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 3

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": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1205217494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 E HERNDON AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202989",
            "telephone_number": "559-228-6600",
            "fax_number": "559-226-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 E HERNDON AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202989",
            "telephone_number": "559-228-6600",
            "fax_number": "559-226-3709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2823 Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211324",
            "country_code": "US",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERARDINE",
        "first_name": "SUPRIYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A176112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.