NPIMap

Individual provider Active NPI

Joydev Acharya, MD

  • Specialist
  • Modesto, CA
National Provider Identifier
1801898044
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A96042 Issued in CA
Practice address
3621 Forest Glenn Dr
Modesto, CA 95355-1339
Phone
(209) 521-9661
Fax
(209) 521-9307
NPI assigned
Jun 1, 2005
Last updated
Apr 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A96042 CA Primary

Addresses

Primary practice location

3621 Forest Glenn Dr
Modesto, CA 95355-1339

Mailing address

3621 Forest Glenn Dr
Modesto, CA 95355-1339
Phone (209) 521-9661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061031000350 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2062495088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stanislaus Cardiology GroupGroup PAC ID 2264468008, 6 clinicians

Practice addresses (Care Compare)

3621 Forest Glenn Dr
Modesto, CA 95355-1339
Phone (209) 521-9661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.25 of 100Reported as individual
Quality
67.74
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96042CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanislaus Cardiology Group Specialist CurrentSince Aug 10, 2006 Accepting new patients
Tucson Medical Center Past Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Oak Valley Hospital District Past Accepting new patients
Summit Surgery Center Modesto, Inc Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

3621 Forest Glenn Dr
Modesto, CA 95355
Phone (209) 521-7411

654 Lyell Dr
Ste A
Modesto, CA 95356
Phone (209) 521-9661

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: acharya@stancard.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1022
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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 4

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1801898044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 FOREST GLENN DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551339",
            "telephone_number": "209-521-9661",
            "fax_number": "209-521-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 FOREST GLENN DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551339",
            "telephone_number": "209-521-9661",
            "fax_number": "209-521-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHARYA",
        "first_name": "JOYDEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A96042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.