Individual provider Active NPI

Azhar I Salahuddin, M.D.

  • Ophthalmology Physician
  • Fresno, CA
National Provider Identifier
1801897194
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101236887 Issued in VA
Practice address
1360 E Herndon Ave
Suite 201
Fresno, CA 93720-3326
Phone
(559) 449-5050
Fax
(559) 432-2632
NPI assigned
Aug 9, 2005
Last updated
Oct 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101236887 VA Primary

Addresses

Primary practice location

1360 E Herndon Ave
Suite 201
Fresno, CA 93720-3326

Mailing address

1360 E Herndon Ave
Suite 201
Fresno, CA 93720-3326
Phone (559) 449-5050

Other identifiers 14

IdentifierTypeStateIssuer
010094682MedicaidVA
144442OtherVAHEALTHKEEPERS PROV #
79567OtherVAOPTIMA PROV #
9339127OtherVAPHCS PROV #
010094682OtherVAVA PREMIER PROV #
0802292OtherVAUNITED HEALTH CARE PROV #
2342752002OtherVACIGNA PROV #
7286537OtherVAAETNA PROV #
P00164871OtherVARAILROAD MEDICARE PROV #
2222922OtherVAFIRST HEALTH PROV #
144442OtherVAANTHEM PROV #
541299712OtherVAVA HEALTH NETWORK PROV #
2128853OtherVAMD IPA PROV #
89067EYOtherNCNC MEDICAID PROV #

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
I20070530000248 CA Practitioner - Ophthalmology 0446159644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Vision Center Medical Group IncGroup PAC ID 1052219409, 10 clinicians
Camarena HealthGroup PAC ID 4880584317, shared by 24 NPIs, 79 clinicians

Practice addresses (Care Compare)

1360 E Herndon Ave
Suite 201
Fresno, CA 93720-3326
Phone (559) 449-5050

509 S I St
Madera, CA 93637-4660
Phone (559) 664-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101236887VAMDOphthalmology Physician
95697CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Vision Center Medical Group, Inc. Ophthalmology CurrentSince Mar 1, 2012 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Sentara Hospitals Past Accepting new patients
Virginia Ophthalmology Associates Past Accepting new patients
Sentara Hospitals Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

1360 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 449-5050

1360 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 449-5049

7015 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-1010

509 S I St
Ste C
Madera, CA 93637
Phone (559) 449-5050

Interoperability endpoints

  • Direct secure messaging: azhar.salahuddin.1@17661.direct.athenahealth.com
  • Direct secure messaging: azhar.salahuddin.p2@direct.californiaeye.nextgenshare.com
  • Direct secure messaging: azhar.salahuddin@fhcn.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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 1

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1801897194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5050",
            "fax_number": "559-432-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5050",
            "fax_number": "559-432-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAHUDDIN",
        "first_name": "AZHAR",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101236887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010094682",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS PROV #",
            "identifier": "144442",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA PROV #",
            "identifier": "79567",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PROV #",
            "identifier": "9339127",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER PROV #",
            "identifier": "010094682",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE PROV #",
            "identifier": "0802292",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV #",
            "identifier": "2342752002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROV #",
            "identifier": "7286537",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "P00164871",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PROV #",
            "identifier": "2222922",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROV #",
            "identifier": "144442",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA HEALTH NETWORK PROV #",
            "identifier": "541299712",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD IPA PROV #",
            "identifier": "2128853",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID PROV #",
            "identifier": "89067EY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.