Individual provider Active NPI

Siddhartha Agrawal, M.D.

  • Nephrology Physician
  • Visalia, CA
National Provider Identifier
1477761963
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A102877 Issued in CA
Practice address
820 S Akers St Ste 100
Visalia, CA 93277-8306
Phone
(559) 625-4118
Fax
(559) 625-6004
NPI assigned
May 18, 2007
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A102877 CA Primary

Addresses

Primary practice location

820 S Akers St Ste 100
Visalia, CA 93277-8306

Mailing address

820 S Akers St Ste 100
Visalia, CA 93277-8306

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
I20090819000245 CA Practitioner - NephrologyPractitioner - Internal Medicine 7214081645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians
South Valley Vascular Associates Inc.Group PAC ID 5496936346, 5 clinicians

Practice addresses (Care Compare)

365 Lennon LN
Walnut Creek, CA 94598-5915

384 Pearson Dr
Porterville, CA 93257-3368
Phone (559) 625-4118

820 S Akers St
Visalia, CA 93277-8306
Phone (559) 625-4118

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal56
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102877CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Dec 1, 2018 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Dec 1, 2018 Accepting new patients
South Valley Vascular Associates Inc. CurrentSince Aug 1, 2025 Accepting new patients
Juergen P. Krauthammer, MD, Inc PastSince Oct 15, 2009 Accepting new patients
Bass Medical Group Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients

Locations

1646 E Herndon Ave
Ste 106
Fresno, CA 93720
Phone (559) 490-0234

7014 N Whitney Ave
Fresno, CA 93720
Phone (559) 321-2800

7045 N Maple Ave
Ste 107
Fresno, CA 93720

7045 N Maple Ave
Ste 108
Fresno, CA 93720
Phone (559) 431-0340

384 Pearson Dr
Porterville, CA 93257
Phone (559) 788-1022

820 S Akers St
Ste 100
Visalia, CA 93277
Phone (559) 624-6800

820 S Akers St
Ste 120
Visalia, CA 93277
Phone (559) 625-9601

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA
  • Direct secure messaging: siddhartha.agrawal@bass.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1477761963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S AKERS ST STE 100",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S AKERS ST STE 100",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778306",
            "telephone_number": "559-625-4118",
            "fax_number": "559-625-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "SIDDHARTHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A102877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.