Active NPI
Siddhartha Agrawal, M.D.
- Nephrology Physician
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A102877
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 80.39
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 56 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A102877 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| South Valley Vascular Associates Inc. | Current | Accepting new patients | |
| Juergen P. Krauthammer, MD, Inc | Past | 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
- https://fhir4.healow.com/fhir/r4/IBDGCA
- 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.
-
- Obstetrics & Gynecology Physician
- Walnut Creek, CA
- NPI 1174253405
-
- Vascular Surgery Physician
- Visalia, CA
- NPI 1508166190
-
- Orthopaedic Surgery Physician
- Walnut Creek, CA
- NPI 1043616600
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Surgery Physician
- Fresno, CA
- NPI 1063642866
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
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
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Ana Isabel Aguayo
- Jaime C Aguet, M.D.
- Alexandra Marie Aguila
- Emily Susana Aguilar-Gutierrez
- Adriana G Aguilar, MSW, ACSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.