Individual provider Active NPI

Pavel Volkov, MD

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1245556315
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A11927 Issued in CA
Practice address
6327 N Fresno St
Ste# 104
Fresno, CA 93710-5236
Phone
(559) 431-4020
Fax
(559) 431-4589
NPI assigned
Apr 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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 A11927 CA Primary

Addresses

Primary practice location

6327 N Fresno St
Ste# 104
Fresno, CA 93710-5236

Mailing address

6327 N Fresno St
Ste# 104
Fresno, CA 93710-5236
Phone (559) 431-4020

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
I20101005001116 CA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2365634698 Reassigns benefits to 3 organizations
Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 228-4327

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A11927CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LQMG Medical Group Inc. Internal Medicine Current Accepting new patients
Saint Agnes Medical Foundation Internal Medicine CurrentSince Mar 16, 2019 Accepting new patients
Community Foundation Medical Group Internal Medicine Current Accepting new patients
Central Valley Critical Care Medicine - a Professional Corporat CurrentSince Jun 18, 2018 Accepting new patients
Community Foundation Medical Group Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Community Foundation Medical Group CurrentSince May 1, 2019 Accepting new patients
Cep America - Intensivists PC Past Accepting new patients
Hanford Medical Associates, Inc. Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients

Locations

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

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7370 N Palm Ave
Ste 101
Fresno, CA 93711
Phone (559) 228-4222

1303 E Herndon Ave
Stop 35
Fresno, CA 93720
Phone (559) 431-4020

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

5211 W Goshen Ave
Visalia, CA 93291
Phone (559) 242-6860

Organizations & group practices 9

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 1

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1245556315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 N FRESNO ST",
            "address_2": "STE# 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105236",
            "telephone_number": "559-431-4020",
            "fax_number": "559-431-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 N FRESNO ST",
            "address_2": "STE# 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105236",
            "telephone_number": "559-431-4020",
            "fax_number": "559-431-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKOV",
        "first_name": "PAVEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A11927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.