Active NPI
John Edward Garry, MD
- Colon & Rectal Surgery Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- G39995
- Practice address
- 6121 N Thesta
Suite 202
Fresno, CA 93710 - Phone
- (559) 440-0283
- Fax
- (559) 440-0192
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | G39995 | CA | Primary |
| Colon & Rectal Surgery Physician | 208C00000X | 4301046027 | MI |
Addresses
Primary practice location
6121 N Thesta
Suite 202
Fresno, CA 93710
Mailing address
6121 N Thesta
Suite 202
Fresno, CA 93710
Phone (559) 440-0283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G399950 | Medicaid | CA |
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
- Colorectal Surgery (Proctology)
- Education
- University of Southern California Keck School of Medicine, 1978
- 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
2335 E Kashian LN
Fresno, CA 93701-2234
2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000
6121 N Thesta St
Fresno, CA 93710-5294
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.41 of 100
- Quality
- 87.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G39995 | CA | MD | Colon & Rectal Surgery Physician |
| 4301046027 | MI | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foundation Medical Group | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients |
Locations
785 N Medical Center Dr W
Ste 203
Clovis, CA 93611
Phone (559) 387-1900
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
6121 N Thesta St
Ste 202
Fresno, CA 93710
Phone (559) 440-0283
Interoperability endpoints
- jgarry2721530@direct.trinity-health.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1134668353
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- 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": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1669558573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6121 N THESTA",
"address_2": "SUITE 202",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-440-0283",
"fax_number": "559-440-0192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6121 N THESTA",
"address_2": "SUITE 202",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-440-0283",
"fax_number": "559-440-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRY",
"first_name": "JOHN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CA",
"license": "G39995",
"primary": true
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MI",
"license": "4301046027",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G399950",
"state": "CA"
}
],
"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 Sep 24, 2008; 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.