Individual provider Active NPI

Mythe Laramie, M.D.

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1801907399
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G80217 Issued in CA
Practice address
1515 E Alluvial Ave # 101
Fresno, CA 93720
Phone
(559) 435-0339
Fax
(559) 435-0853
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G80217 CA Primary

Addresses

Primary practice location

1515 E Alluvial Ave # 101
Fresno, CA 93720

Mailing address

1515 E Alluvial Ave # 101
Fresno, CA 93720-3832
Phone (559) 435-0339

Other practice location 1

6246 N 1st St
101
Fresno, CA 93710-5446
Phone (559) 431-5901

Other practice location 2

6246 N 1st St
101
Fresno, CA 93710-5446
Phone (559) 431-5901

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
I20050726001202 CA Practitioner - Internal MedicinePractitioner - Family Practice 1850328345 Reassigns benefits to 1 organization
Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Specialists Medical Group, IncGroup PAC ID 5092953323, 2 clinicians

Practice addresses (Care Compare)

1515 E Alluvial Ave
Suite 101
Fresno, CA 93720-3832
Phone (559) 435-0339

Hospital & facility affiliations

  • Omnia Healthcare, LLC Home health agency, Clovis, CA, CCN 059683
  • Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
  • Community Home Care Home health agency, Fresno, CA, CCN 057248
  • Therapeutic Home Healthcare Home health agency, Fresno, CA, CCN 059426
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • San Joaquin Valley Rehabilitation Hosp Inpatient rehabilitation facility, Fresno, CA, CCN 053032

Merit-based Incentive Payment System (MIPS)

Final score
87.15 of 100Reported as group
Quality
98.13
Promoting interoperability
100
Improvement activities
40
Cost
59.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Specialists Medical Group, Inc. Internal Medicine CurrentSince Apr 29, 2019 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients

Locations

1515 E Alluvial Ave
Ste 101
Fresno, CA 93720
Phone (559) 435-0339

1515 E Alluvial Ave
#101
Fresno, CA 93720
Phone (559) 299-1515

Interoperability endpoints

  • Direct secure messaging: mythe.laramie.1@14288.direct.athenahealth.com

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 9

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1801907399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E ALLUVIAL AVE # 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203832",
            "telephone_number": "559-435-0339",
            "fax_number": "559-435-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E ALLUVIAL AVE # 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-435-0339",
            "fax_number": "559-435-0853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6246 N 1st St",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105446",
            "country_code": "US",
            "telephone_number": "559-431-5901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6246 N 1st St",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105446",
            "country_code": "US",
            "telephone_number": "559-431-5901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARAMIE",
        "first_name": "MYTHE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G80217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.