Active NPI
Sukhdeep S Athwal, D.O.
- Anesthesiology Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20A13258
- Practice address
- 2823 Fresno St
Fresno, CA 93721 - Phone
- (559) 459-6000
- NPI assigned
- Jun 11, 2008
- Last updated
- Feb 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20A13258 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 11013389A | IN |
Addresses
Primary practice location
2823 Fresno St
Fresno, CA 93721
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
Other practice location 1
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 326-2000
Other practice location 2
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 324-4000
Other practice location 3
7417 N Cedar Ave
Fresno, CA 93720-3637
Phone (559) 436-0871 ext. 111
Other practice location 4
15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200923170 | Medicaid | IN |
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
- Anesthesiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 E Audubon Dr
Fresno, CA 93720-1542
Phone (559) 433-8000
2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000
2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000
45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530
805 W Acequia Ave
Suite 2D
Visalia, CA 93291-6164
Phone (559) 320-0530
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.04 of 100
- Quality
- 78.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013389A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Regional Anesthesia Associates Inc | Anesthesiology | Current | Accepting new patients |
| Community Health Partners | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Indiana University Health Inc | Past | Accepting new patients | |
| Johnson Memorial Hospital | Internal Medicine | Past | Accepting new patients |
| Community Anesthesia Providers Medical Group Inc | Anesthesiology | Past | Accepting new patients |
| St. Francis Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
| The Health and Hospital Corporation of Marion County | Past | Accepting new patients | |
| Indiana University Health Inc | Past | Accepting new patients |
Locations
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550
7417 N Cedar Ave
Ste 101
Fresno, CA 93720
Phone (559) 437-5645
1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180
1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Fresno, CA
- NPI 1952912420
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
-
- Anesthesiology Physician
- Clovis, CA
- NPI 1194778621
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- Children's Hospital
- Indianapolis, IN
- NPI 1114958584
-
dba Indiana University Health Renal Services
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Indianapolis, IN
- NPI 1740218940
-
dba Johnson Memorial Hospital Health Affiliates
- Internal Medicine Physician
- Franklin, IN
- NPI 1154321099
-
- Internal Medicine Physician
- Greenwood, IN
- NPI 1467693135
-
dba Eskenazi Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
dba Clovis Community Medical Center
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1598925877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "93721",
"telephone_number": "559-459-6000"
}
],
"practiceLocations": [
{
"address_1": "1700 Mount Vernon Ave",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "93306",
"country_code": "US",
"telephone_number": "661-326-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2755 Herndon Ave",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "CA",
"postal_code": "93611",
"country_code": "US",
"telephone_number": "559-324-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7417 N Cedar Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203637",
"country_code": "US",
"telephone_number": "559-436-0871 x111",
"fax_number": "559-436-5221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 E Audubon Dr",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "93720",
"country_code": "US",
"telephone_number": "559-433-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATHWAL",
"first_name": "SUKHDEEP",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A13258",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "11013389A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200923170",
"state": "IN"
}
],
"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 Feb 22, 2019; 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.