Individual provider Active NPI

John Edward Garry, MD

  • Colon & Rectal Surgery Physician
  • Fresno, CA
National Provider Identifier
1669558573
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G39995 Issued in CA
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

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G399950MedicaidCA

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
I20080806000427 CA Practitioner - Colorectal Surgery (Proctology) 7810061009 Reassigns benefits to 1 organization
Practice locations: Fresno, CA

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 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G39995CAMDColon & Rectal Surgery Physician
4301046027MIMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group Current Accepting new patients
Community Foundation Medical Group CurrentSince Aug 1, 2019 Accepting new patients
Community Foundation Medical Group CurrentSince Aug 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.