Individual provider Active NPI

Jonathan Jay Myers, D.O.

  • Gastroenterology Physician
  • Fresno, CA
National Provider Identifier
1831173293
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DO156743 Issued in OR
Practice address
7095 N Chestnut Ave Ste 101
Fresno, CA 93720
Phone
(559) 323-8200
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02002639A IN
Gastroenterology Physician 207RG0100X DO156743 OR Primary

Addresses

Primary practice location

7095 N Chestnut Ave Ste 101
Fresno, CA 93720

Mailing address

7095 N Chestnut Ave Ste 101
Fresno, CA 93720-0360
Phone (559) 323-8200

Other practice location 1

3355 RiverBend Dr
Suite 500
Springfield, OR 97477-8800
Phone (541) 868-9500

Other practice location 2

7095 N Chestnut Ave Ste 101
Fresno, CA 93720-0360
Phone (559) 323-8200

Other identifiers 1

IdentifierTypeStateIssuer
500645121MedicaidOR

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
I20170731002907 CA Practitioner - Gastroenterology 0244487676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1187 E Herndon Ave
Suite 101
Fresno, CA 93720-3166
Phone (559) 440-0450

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000

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

2335 E Kashian LN
Fresno, CA 93701-2234

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 228-4327

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

7095 N Chestnut Ave
Fresno, CA 93720-0360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy135
Upper gastrointestinal (GI) endoscopy for acid reflux272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02002639AINMDInternal Medicine Physician
DO156743ORMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Sep 1, 2017 Accepting new patients
Community Foundation Medical Group Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

7095 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 323-8200

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

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 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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1831173293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 N CHESTNUT AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200360",
            "telephone_number": "559-323-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 N CHESTNUT AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-323-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 RiverBend Dr",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-868-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 N Chestnut Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937200360",
            "country_code": "US",
            "telephone_number": "559-323-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JONATHAN",
        "middle_name": "JAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02002639A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "DO156743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500645121",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.