Organization Active NPI

Narala & Madireddy MD a Professional Corporation

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1265428403
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A51494 Issued in CA
Legal business name
NARALA & MADIREDDY MD A PROFESSIONAL CORPORATION
Practice address
568 E Herndon Ave
Ste 102
Fresno, CA 93720-2989
Phone
(559) 221-7500
Fax
(559) 248-2472
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Dr. Madhava Reddy Narala, M.D.
Title
President
Phone
(559) 221-7500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A51494 CA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A51491 CA

Addresses

Primary practice location

568 E Herndon Ave
Ste 102
Fresno, CA 93720-2989

Mailing address

568 E Herndon Ave
Ste 102
Fresno, CA 93720-2989
Phone (559) 221-7500

Other identifiers 1

IdentifierTypeStateIssuer
GR0077501MedicaidCA

Other names 1

  • Internal Medicine and Pediatrics Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

568 E Herndon Ave
Ste 102
Fresno, CA 93720
Phone (559) 221-7500

568 E Shaw Ave Ste 102
Fresno, CA 93710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1265428403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 E HERNDON AVE",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202989",
            "telephone_number": "559-221-7500",
            "fax_number": "559-248-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 E HERNDON AVE",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202989",
            "telephone_number": "559-221-7500",
            "fax_number": "559-248-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARALA & MADIREDDY MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "NARALA",
        "authorized_official_first_name": "MADHAVA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-221-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51494",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A51491",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0077501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine and Pediatrics Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Internal Medicine and Pediatrics Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.