Individual provider Active NPI

Richard Kenneth Elia, M.D.

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1841499381
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A100727 Issued in CA
Practice address
5375 N Palm Ave
Fresno, CA 93704-2206
Phone
(559) 435-3542
Fax
(559) 431-2457
NPI assigned
Jul 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A100727 CA Primary

Addresses

Primary practice location

5375 N Palm Ave
Fresno, CA 93704-2206

Mailing address

5375 North Palm
Fresno, CA 93704-2206
Phone (559) 435-3542

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
I20071127000695 CA Practitioner - Family Practice 9335238450 Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5375 N Palm Ave
Fresno, CA 93704-2206
Phone (559) 906-3542

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.21 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100727CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
August R Gerdes MD Inc Family Medicine Past Accepting new patients

Organizations & group practices 1

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": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1841499381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 NORTH PALM",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042206",
            "telephone_number": "559-435-3542",
            "fax_number": "559-431-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042206",
            "telephone_number": "559-435-3542",
            "fax_number": "559-431-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIA",
        "first_name": "RICHARD",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-14",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A100727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.