Individual provider Active NPI

Narakesari Prasanna Heragu, M.D.

  • Pediatric Cardiology Physician
  • Madera, CA
National Provider Identifier
1336259670
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
C51536 Issued in CA
Practice address
9300 Valley Childrens PL
Cardiology
Madera, CA 93636-8761
Phone
(559) 353-6257
Fax
(559) 353-5455
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X C51536 CA Primary

Addresses

Primary practice location

9300 Valley Childrens PL
Cardiology
Madera, CA 93636-8761

Mailing address

9300 Valley Childrens PL
Madera, CA 93636-8761
Phone (559) 353-5700

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
I20040427001668 CA Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 1759378201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Childrens Medical GroupGroup PAC ID 9032439336, 50 clinicians

Practice addresses (Care Compare)

1524 McHenry Ave
Modesto, CA 95350-4500
Phone (209) 572-3880

9300 Valley Childrens PL
Madera, CA 93636-8761

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Confermed of California PC CurrentSince Oct 10, 2024 Accepting new patients
Valley Children's Medical Group CurrentSince Oct 1, 2019 Accepting new patients
Hanford Community Hospital Past Accepting new patients
Valley Children's Hospital Past Accepting new patients
Confermed PC Past Accepting new patients
Reedley Community Hospital Past Accepting new patients

Locations

1215 34th St
Bakersfield, CA 93301
Phone (661) 663-4700

300 S Leon S. Peters Blvd
Fowler, CA 93625
Phone (559) 834-1614

215 N Fresno St
Ste 370B
Fresno, CA 93701

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1190 Olivewood Dr
Ste A
Merced, CA 95348

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

220 S Akers St
Visalia, CA 93291
Phone (559) 302-1245

11 Silver St
Unit 856
Middletown, CT 06457

Interoperability endpoints

  • Direct secure messaging: nheragu62375@valleychildrens-prd.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1336259670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5700",
            "fax_number": "559-353-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "address_2": "CARDIOLOGY",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-6257",
            "fax_number": "559-353-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERAGU",
        "first_name": "NARAKESARI",
        "middle_name": "PRASANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "C51536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.