Individual provider Active NPI

Priyanaina Reddy Kasula, MD

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1659649770
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A120213 Issued in CA
Practice address
6107 N 1St St
Fresno, CA 93710-5460
Phone
(866) 707-6664
NPI assigned
Dec 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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 125056779 IL
Internal Medicine Physician 207R00000X A120213 CA Primary
Hospitalist Physician 208M00000X 2020-04286 NC

Addresses

Primary practice location

6107 N 1St St
Fresno, CA 93710-5460

Mailing address

554 W Fallbrook Ave
Clovis, CA 93611-7166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120808000636 CA Practitioner - Internal Medicine 7517113491 Reassigns benefits to 2 organizations
I20161209001278 OH Practitioner - Internal Medicine 7517113491 Reassigns benefits to 1 organization
I20201202001910 NC Practitioner - HospitalistPractitioner - Internal Medicine 7517113491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Healthcare NetworkGroup PAC ID 6305756339, shared by 34 NPIs, 91 clinicians

Practice addresses (Care Compare)

330 E Pine St
Exeter, CA 93221-1838
Phone (877) 960-3426

3837 N Clark St
Fresno, CA 93726-4806
Phone (877) 960-3426

7060 N Recreation Ave
Fresno, CA 93720-8022
Phone (877) 960-3426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120213CAMDInternal Medicine Physician
125056779ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Jan 9, 2025 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Oct 6, 2016 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Oct 6, 2016 Accepting new patients
Mvhe Inc Internal Medicine Current Accepting new patients
Family Healthcare Network CurrentSince Jan 9, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince Nov 30, 2020 Accepting new patients
Family Healthcare Network Current Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Family Healthcare Network Past Accepting new patients

Locations

3425 N 1st St
Fresno, CA 93726
Phone (559) 608-6581

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

Organizations & group practices 10

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": "1322870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1659649770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 W FALLBROOK AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936117166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105460",
            "telephone_number": "866-707-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASULA",
        "first_name": "PRIYANAINA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-03",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125056779",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A120213",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2020-04286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.