Individual provider Active NPI

Pravachan V C Hegde, MD

  • Pulmonary Disease Physician
  • Clovis, CA
National Provider Identifier
1801050331
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A135467 Issued in CA
Practice address
726 N Medical Center Dr E Ste 201
Clovis, CA 93611-6886
Phone
(559) 224-5864
NPI assigned
Jul 14, 2008
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A135467 CA
Internal Medicine Physician 207R00000X A135467 CA
Pulmonary Disease Physician 207RP1001X A135467 CA Primary

Addresses

Primary practice location

726 N Medical Center Dr E Ste 201
Clovis, CA 93611-6886

Mailing address

PO Box 889442
Los Angeles, CA 90088-9442
Phone (596) 037-3725

Other practice location 1

2335 E Kashian Ln Ste 280
Fresno, CA 93701-2211
Phone (559) 256-5130

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
I20150812007434 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3274678826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

15 E Audubon Dr
Fresno, CA 93720-1542
Phone (559) 433-8000

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530

726 N Medical Ctr Dr E
Clovis, CA 93611-6886

805 W Acequia Ave
Suite 2D
Visalia, CA 93291-6164
Phone (559) 320-0530

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135467CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Clovis Community Medical Center CurrentSince Nov 30, 2015 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Nov 30, 2015 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Community Health Partners CurrentSince Jan 16, 2025 Accepting new patients
University Faculty Associates, Inc. Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

726 N Medical Center Dr E
Ste 201
Clovis, CA 93611
Phone (559) 224-5864

726 N Medical Center Dr E
Ste 205
Clovis, CA 93611
Phone (559) 859-3536

785 N Medical Center Dr W
Clovis, CA 93611
Phone (559) 387-1600

2335 E Kashian Ln
Fresno, CA 93701
Phone (559) 445-1251

2335 E Kashian Ln
Ste 260
Fresno, CA 93701
Phone (559) 256-5130

2335 E Kashian Ln
Ste 280
Fresno, CA 93701
Phone (559) 256-5130

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 573-3430

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1801050331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889442",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900889442",
            "telephone_number": "596-037-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N MEDICAL CENTER DR E STE 201",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116886",
            "telephone_number": "559-224-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 E Kashian Ln Ste 280",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012211",
            "country_code": "US",
            "telephone_number": "559-256-5130",
            "fax_number": "559-485-4504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEGDE",
        "first_name": "PRAVACHAN",
        "middle_name": "V C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A135467",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A135467",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A135467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.