Individual provider Active NPI

Ajit Singh Khaira, MD

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1487633764
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A46411 Issued in CA
Practice address
3120 Tulare St
#102
Fresno, CA 93721-1443
Phone
(559) 233-0933
Fax
(559) 233-4364
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A46411 CA Primary

Addresses

Primary practice location

3120 Tulare St
#102
Fresno, CA 93721-1443

Mailing address

3120 Tulare St
#102
Fresno, CA 93721-1443
Phone (559) 233-0933

Other identifiers 1

IdentifierTypeStateIssuer
00A464112MedicaidCA

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
I20050715000504 CA Practitioner - Internal Medicine 1052347523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3120 Tulare St
Suite 102
Fresno, CA 93721-1443
Phone (559) 233-0933

Hospital & facility affiliations

  • Valley Regional Home Health, Inc Home health agency, Fresno, CA, CCN 059575
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
92.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A46411CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Community Hospital and Medical Center CurrentSince Mar 2, 2010 Accepting new patients
Ajit Singh Khaira MD Inc CurrentSince Apr 1, 2006 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Mar 2, 2010 Accepting new patients

Locations

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

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

3120 Tulare St
Ste 102
Fresno, CA 93721
Phone (559) 223-0933

Interoperability endpoints

  • Direct secure messaging: khaira.ajit.006.0050432@akm.meditab.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1487633764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 TULARE ST",
            "address_2": "#102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211443",
            "telephone_number": "559-233-0933",
            "fax_number": "559-233-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 TULARE ST",
            "address_2": "#102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211443",
            "telephone_number": "559-233-0933",
            "fax_number": "559-233-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIRA",
        "first_name": "AJIT",
        "middle_name": "SINGH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A46411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A464112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.