NPIMap

Individual provider Active NPI

Manminder Singh Bhullar, MD

  • Interventional Cardiology Physician
  • Fresno, CA
National Provider Identifier
1295039360
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A123839 Issued in CA
Practice address
2335 E Kashian LN Ste 240
Fresno, CA 93701
Phone
(559) 320-0545
Fax
(559) 320-0550
NPI assigned
Jan 4, 2011
Last updated
May 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A123839 CA
Cardiovascular Disease Physician 207RC0000X A123839 CA
Interventional Cardiology Physician 207RI0011X A123839 CA Primary

Addresses

Primary practice location

2335 E Kashian LN Ste 240
Fresno, CA 93701

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Other practice location 1

729 N Medical Center Dr W Ste 111
Clovis, CA 93611-6880
Phone (559) 666-1993

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
I20181009001407 CA Practitioner - Cardiovascular Disease (Cardiology) 5890047443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
California Heart Medical Associates, IncGroup PAC ID 9931162963, 4 clinicians

Practice addresses (Care Compare)

15 E Audubon Dr
Fresno Heart and Surgical Hospital
Fresno, CA 93720-1542
Phone (559) 433-8000

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-2438

7215 N Fresno St
Suite 103
Fresno, CA 93720-2969
Phone (559) 438-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.33 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123839CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center Cardiovascular Disease CurrentSince May 7, 2022 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Nov 30, 2019 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Nov 30, 2019 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Trinity Home Health Services CurrentSince May 7, 2022 Accepting new patients
California Heart Medical Associates, Inc CurrentSince Apr 18, 2022 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Community Foundation Medical Group Internal Medicine Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

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

729 N Medical Center Dr W
Ste 111
Clovis, CA 93611
Phone (559) 320-0531

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

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

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

7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930

7215 N Fresno St
Ste 103
Fresno, CA 93720
Phone (559) 438-1111

Interoperability endpoints

  • Direct secure messaging: manminder.bhullar.1@17661.direct.athenahealth.com

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 5

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": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1295039360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 E KASHIAN LN STE 240",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93701",
            "telephone_number": "559-320-0545",
            "fax_number": "559-320-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "729 N Medical Center Dr W Ste 111",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116880",
            "country_code": "US",
            "telephone_number": "559-666-1993",
            "fax_number": "559-540-2957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHULLAR",
        "first_name": "MANMINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A123839",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A123839",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A123839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.