Individual provider Active NPI

Akshatha Gorur Venkate Gowda, MD

  • Hospitalist Physician
  • Fresno, CA
National Provider Identifier
1639333164
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A135632 Issued in CA
Practice address
2823 Fresno St
Fresno, CA 93721-1324
Phone
(559) 499-6000
Fax
(559) 459-6748
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A135632 CA
Hospitalist Physician 208M00000X A135632 CA Primary
Internal Medicine Physician 207R00000X 53687 WI

Addresses

Primary practice location

2823 Fresno St
Fresno, CA 93721-1324

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Other practice location 1

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-5672

Other identifiers 1

IdentifierTypeStateIssuer
1639333164MedicaidWI

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
I20150728006499 CA Practitioner - Internal Medicine 5698809788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.11 of 100Reported as individual
Quality
82.28
Promoting interoperability
77
Improvement activities
40
Cost
80.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
135632CAMDSocial Worker
A135632CAMDInternal Medicine Physician
53687WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arya Medical Group Corp CurrentSince Feb 1, 2025 Accepting new patients
Saint Agnes Medical Foundation Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Arya Medical Group Corp Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
LQMG Medical Group Inc. Internal Medicine Current Accepting new patients
DLP Central Carolina Medical Center LLC Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
University Faculty Associates, Inc. Past Accepting new patients

Locations

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

7138 N Millbrook Ave
Ste 105
Fresno, CA 93720
Phone (559) 436-0440

6125 N Fresno St
Fresno, CA 93710
Phone (559) 285-9344

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1660 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 424-0610

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

Interoperability endpoints

  • Direct secure messaging: agowda2714635@direct.trinity-health.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1639333164",
    "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": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "559-499-6000",
            "fax_number": "559-459-6748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 E Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203309",
            "country_code": "US",
            "telephone_number": "559-450-5672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "AKSHATHA",
        "middle_name": "GORUR VENKATE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A135632",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A135632",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "53687",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639333164",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.