NPIMap

Individual provider Active NPI

Kiran Reddy, M.D

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1588778435
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A055459 Issued in CA
Practice address
7045 N Maple Ave Ste 108
Fresno, CA 93720-8008
Phone
(559) 326-7393
Fax
(559) 369-2488
NPI assigned
Aug 18, 2006
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A055459 CA
Internal Medicine Physician 207R00000X A055459 CA Primary

Addresses

Primary practice location

7045 N Maple Ave Ste 108
Fresno, CA 93720-8008

Mailing address

7045 N Maple Ave Ste 108
Fresno, CA 93720-8008
Phone (559) 326-7393

Other identifiers 1

IdentifierTypeStateIssuer
00A554590MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000400 CA Practitioner - Internal MedicinePractitioner - Hospitalist 0042374183 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Un of California, Irvine, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7202 N Millbrook Ave
Suite 105
Fresno, CA 93720-3341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A055459CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center CurrentSince Mar 2, 2010 Accepting new patients
Clovis Community Medical Center CurrentSince May 14, 2011 Accepting new patients
Amada Concierge Clinics PC Internal Medicine CurrentSince May 13, 2024 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince May 14, 2011 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Trinity Home Health Services CurrentSince Mar 2, 2010 Accepting new patients
Universal Hospitalists Ghalchi PC Hospitalist PastSince Nov 9, 2021 Accepting new patients

Locations

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

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

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

7045 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-7393

7202 N Millbrook Ave
Ste 105
Fresno, CA 93720
Phone (559) 450-4463

Organizations & group practices 8

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.

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1588778435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 N MAPLE AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208008",
            "telephone_number": "559-326-7393",
            "fax_number": "559-369-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7045 N MAPLE AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208008",
            "telephone_number": "559-326-7393",
            "fax_number": "559-369-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A055459",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A055459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A554590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.