Individual provider Active NPI

Jagpreet Mukker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fresno, CA
National Provider Identifier
1699732156
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4656 Issued in CA
Practice address
7210 N Milburn Ave Ste 101
Fresno, CA 93722-8449
Phone
(559) 224-5101
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4656 CA Primary

Addresses

Primary practice location

7210 N Milburn Ave Ste 101
Fresno, CA 93722-8449

Mailing address

7210 N Milburn Ave Ste 101
Fresno, CA 93722-8449

Other practice location 1

457 E Almond Ave Ste 103
Madera, CA 93637-5764
Phone (559) 674-3338

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070427000199 CA Practitioner - Podiatry 6305942996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7210 N Milburn Ave
Suite 101
Fresno, CA 93722-8449
Phone (559) 224-5101

Hospital & facility affiliations

  • Valley Regional Home Health, Inc Home health agency, Fresno, CA, CCN 059575
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue6978
Removal or shaving of skin growth697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4656CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Mukker DPM Inc Foot & Ankle Surgery CurrentSince May 1, 2010 Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

7210 N Milburn Ave
Ste 101
Fresno, CA 93722
Phone (510) 550-7577

7210 N Milburn Ave
Fresno, CA 93722

457 E Almond Ave
Ste 103
Madera, CA 93637
Phone (559) 674-3338

Organizations & group practices 3

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1699732156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 N MILBURN AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 N MILBURN AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228449",
            "telephone_number": "559-224-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 E Almond Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936375764",
            "country_code": "US",
            "telephone_number": "559-674-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKKER",
        "first_name": "JAGPREET",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.