Organization Active NPI

Madhu K. Kris M.D.

Doing business as Merced Ambulatory Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Merced, CA
National Provider Identifier
1497895361
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MADHU K. KRIS M.D.
Doing business as
Merced Ambulatory Endoscopy Center
Practice address
750 W Olive Ave
Suite 107a
Merced, CA 95348-2436
Phone
(209) 384-3116
NPI assigned
Feb 8, 2007
Last updated
Aug 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Madhu K Kris, M.D.NPI 1427112366
Title
Medical Director
Phone
(209) 384-3116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

750 W Olive Ave
Suite 107a
Merced, CA 95348-2436

Mailing address

750 W Olive Ave
Suite 107
Merced, CA 95348-2436
Phone (209) 384-3116

Other names 1

  • Merced Ambulatory Endoscopy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000154 CA Part B Supplier - Ambulatory Surgical Center 4385794270 Practice locations: Merced, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Merced Ambulatory Endoscopy CenterCCN 05C0001293
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

750 W Olive Ave
Ste 107
Merced, CA 95348

750 W Olive Ave
Ste 107A
Merced, CA 95348
Phone (209) 384-3116

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1497895361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W OLIVE AVE",
            "address_2": "SUITE 107",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482436",
            "telephone_number": "209-384-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W OLIVE AVE",
            "address_2": "SUITE 107A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482436",
            "telephone_number": "209-384-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHU K. KRIS M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "KRIS",
        "authorized_official_first_name": "MADHU",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-384-3116",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merced Ambulatory Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.