Individual provider Active NPI

Jatinder Paul Grewall, M.D.

  • Urology Physician
  • Fresno, CA
National Provider Identifier
1821292152
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A99543 Issued in CA
Practice address
7014 N Whitney Ave
Fresno, CA 93720-0155
Phone
(559) 321-2858
Fax
(559) 321-2780
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A99543 CA Primary

Addresses

Primary practice location

7014 N Whitney Ave
Fresno, CA 93720-0155

Mailing address

7014 N Whitney Ave
Fresno, CA 93720-0155
Phone (559) 321-2858

Other identifiers 1

IdentifierTypeStateIssuer
P00424398OtherCARAILROAD MEDICARE

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
I20070730000583 CA Practitioner - Urology 6305947706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7014 N Whitney Ave
Fresno, CA 93720-0155
Phone (559) 321-2800

Hospital & facility affiliations

  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Fresno Surgical Hospital Hospital, Fresno, CA, CCN 050708
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

Merit-based Incentive Payment System (MIPS)

Final score
82.33 of 100Reported as group
Quality
70.87
Promoting interoperability
100
Improvement activities
40
Cost
70.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99543CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Surgery Center, LLC CurrentSince Jan 16, 2018 Accepting new patients
Regional Anesthesia Associates Inc CurrentSince Mar 1, 2020 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Fresno Surgery Center LP Past Accepting new patients

Locations

7014 N Whitney Ave
Fresno, CA 93720
Phone (559) 321-2800

7014 N Whitney Ave
Ste B
Fresno, CA 93720
Phone (559) 321-2900

7014 N Whitney Ave
Ste B
Fresno, CA 93720
Phone 55932128002792

Interoperability endpoints

  • Direct secure messaging: paulgrewall@uacc.allscriptsdirect.net

Organizations & group practices 5

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 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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1821292152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7014 N WHITNEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200155",
            "telephone_number": "559-321-2858",
            "fax_number": "559-321-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 N WHITNEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200155",
            "telephone_number": "559-321-2858",
            "fax_number": "559-321-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWALL",
        "first_name": "JATINDER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A99543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00424398",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.