Active NPI
Anupama Poliyedath, MD
- Internal Medicine Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C55333
- Practice address
- 7202 N Millbrook Ave Ste 105
Fresno, CA 93720-3341 - Phone
- (559) 450-4463
- Fax
- (559) 450-4462
- NPI assigned
- Jan 4, 2007
- Last updated
- Dec 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C55333 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 13324 | NH | |
| Internal Medicine Physician | 207R00000X | 125048244 | IL | |
| Hospitalist Physician | 208M00000X | C55333 | CA |
Addresses
Primary practice location
7202 N Millbrook Ave Ste 105
Fresno, CA 93720-3341
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682
Other practice location 1
2335 E Kashian Ln
Suite 280
Fresno, CA 93701-2230
Phone (559) 320-1090
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
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1221 E Spruce Ave
Fresno, CA 93720-3374
Phone (559) 450-5777
1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3433
1379 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-6388
Hospital & facility affiliations
- Saint Agnes Home Health and Hospice
- Dignity Home Health Care
- Compassionate Care Home Health Agency, LLC
- Saint Agnes Medical Center
- San Joaquin Valley Rehabilitation Hosp
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.08 of 100
- Quality
- 85.27
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 80.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C55333 | CA | MD | Internal Medicine Physician |
| 125048244 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LQMG Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| Saint Agnes Medical Foundation | Internal Medicine | Current | Accepting new patients |
| University Faculty Associates, Inc. | Past | Accepting new patients |
Locations
1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777
7202 N Millbrook Ave
Ste 105
Fresno, CA 93720
Phone (559) 450-4463
Interoperability endpoints
- apoliyedath2714250@direct.trinity-health.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Saint Agnes Care
- Internal Medicine Physician
- Fresno, CA
- NPI 1558819482
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1437166360
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1235537283
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba San Joaquin Valley Rehabilitation Hospital
- Rehabilitation Hospital
- Fresno, CA
- NPI 1831144716
Inpatient rehabilitation facility
-
dba Compassionate Care Home Health Agency, LLC
- Home Health Agency
- Fresno, CA
- NPI 1609826387
-
- Home Health Agency
- Fresno, CA
- NPI 1467017061
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
-
dba Saint Agnes Home Health and Hospice, LLC.
- Home Health Agency
- Fresno, CA
- NPI 1790873149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1548317126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211431",
"telephone_number": "559-443-2682",
"fax_number": "559-443-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7202 N MILLBROOK AVE STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203341",
"telephone_number": "559-450-4463",
"fax_number": "559-450-4462"
}
],
"practiceLocations": [
{
"address_1": "2335 E Kashian Ln",
"address_2": "SUITE 280",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937012230",
"country_code": "US",
"telephone_number": "559-320-1090",
"fax_number": "559-320-1099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLIYEDATH",
"first_name": "ANUPAMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C55333",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "13324",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125048244",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "C55333",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.