Individual provider Active NPI

Pradnya Mitroo, MD

  • Gastroenterology Physician
  • Fresno, CA
National Provider Identifier
1538371901
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A99901 Issued in CA
Practice address
1187 E Herndon Ave Ste 101
Fresno, CA 93720-3166
Phone
(559) 440-0450
Fax
(559) 440-0460
NPI assigned
May 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A99901 CA Primary

Addresses

Primary practice location

1187 E Herndon Ave Ste 101
Fresno, CA 93720-3166

Mailing address

1187 E Herndon Ave
Suite 101
Fresno, CA 93720-3166
Phone (559) 440-0450

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
I20071008000586 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 1951496769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1187 E Herndon Ave
Suite 101
Fresno, CA 93720-3166
Phone (559) 440-0450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy117
Upper gastrointestinal (GI) endoscopy for acid reflux189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99901CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Oct 1, 2016 Accepting new patients
Community Foundation Medical Group CurrentSince Oct 1, 2016 Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Digestive Disease Consultants Gastroenterology Past Accepting new patients
Memorail Hospital of Los Banos Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

1187 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 440-0450

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1189 E Herndon Ave
Ste 105
Fresno, CA 93720
Phone (559) 440-0450

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7095 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 323-8200

1189 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (214) 906-4672

7407 N Cedar Ave
Ste 101
Fresno, CA 93720
Phone (559) 228-4242

Organizations & group practices 6

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 3

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": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1538371901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 E HERNDON AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203166",
            "telephone_number": "559-440-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203166",
            "telephone_number": "559-440-0450",
            "fax_number": "559-440-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITROO",
        "first_name": "PRADNYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A99901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.