Active NPI
Adrian Fedele, M.D.
- Surgery Physician
- Merced, CA
National Provider Identifier
1407945017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G87820
- Practice address
- 411 W 20TH St
Merced, CA 95340-3713 - Phone
- (209) 722-8122
- Fax
- (209) 723-0342
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G87820 | CA | Primary |
Addresses
Primary practice location
411 W 20TH St
Merced, CA 95340-3713
Mailing address
411 W 20TH St
Merced, CA 95340-3713
Phone (209) 722-8122
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061122000459 | CA | Practitioner - General Surgery | 3274531462 | Practice locations: Merced, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Boston University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
411 W 20TH St
Merced, CA 95340-3713
Phone (209) 722-8122
Hospital & facility affiliations
- Mercy Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Adrian Fedele, M.D. | Surgery | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Surgery Physician
- Merced, CA
- NPI 1710064027
-
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1407945017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W 20TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953403713",
"telephone_number": "209-722-8122",
"fax_number": "209-723-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W 20TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953403713",
"telephone_number": "209-722-8122",
"fax_number": "209-723-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDELE",
"first_name": "ADRIAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G87820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.