Individual provider Active NPI

Prabhat Adhikari

  • Hospitalist Physician
  • Fresno, CA
National Provider Identifier
1679892004
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A119498 Issued in CA
Practice address
1180 E Shaw Ave
Fresno, CA 93710-7812
Phone
(559) 228-4222
NPI assigned
May 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X A119498 CA Primary

Addresses

Primary practice location

1180 E Shaw Ave
Fresno, CA 93710-7812

Mailing address

4258 W Figarden Dr
Apt 216
Fresno, CA 93722-8611
Phone (718) 715-5085

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
I20120822000664 CA Practitioner - Internal Medicine 4486801669 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A119498CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospitalist Medical Group Inc. Past Accepting new patients
Community Foundation Medical Group Past Accepting new patients
Sante Health Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: padhikari689735@direct.ochsner.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.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1679892004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4258 W FIGARDEN DR",
            "address_2": "APT 216",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228611",
            "telephone_number": "718-715-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 E SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107812",
            "telephone_number": "559-228-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADHIKARI",
        "first_name": "PRABHAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A119498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.