Avinash Chenam, M.D.
Individual provider Active NPI Urology Physician · San Bernardino, CA
NPI 1841502986 · NPPES record last updated Sep 18, 2018
Key facts
- NPI
- 1841502986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- A139184 (CA)
- Practice address
- 489 E 21St St
San Bernardino, CA 92404 - Phone
- (909) 882-2973
- Fax
- (909) 882-2681
- NPI assigned
- Jul 6, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 32
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Saint Louis University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Oroville Hospital
Orohealth Corporation a Non Profit Healthcare System
Franklin M Chu MD Inc
Practice addresses (Care Compare)
2767 Olice Hwy
Oroville, CA 95966-6118
Phone (530) 533-8500
2767 Olive Hwy
Oroville, CA 95966-6118
489 E 21St St
San Bernardino, CA 92404-4816
Phone (909) 882-2973
Hospital & facility affiliations
- Oroville Hospital
- St Bernardine Medical Center
- Good Shepherd Medical Center
- Desert Regional Medical Center
- Bear Valley Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.23 of 100
- Quality
- 36.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 13 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160609000807 | CA | Practitioner - Urology | 1254562580 | Reassigns benefits to 5 organizations |
| I20250521002700 | OR | Practitioner - Urology | 1254562580 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A139184 | CA | MD | Urology Physician |
Practice roles (18 of 19)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Franklin M Chu MD Inc | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Reedley Community Hospital | Current |
Accepting new patients | |
| Good Shepherd Health Care System | Current |
Accepting new patients | |
| Reedley Community Hospital | Current |
Accepting new patients | |
| Orohealth Corporation a Non Profit Healthcare System | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Reedley Community Hospital | Past | Accepting new patients | |
| Hanford Community Hospital | Past | Accepting new patients | |
| San Bernardino Medical Group Inc | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Good Shepherd Health Care System | Past | Accepting new patients | |
| Community Hospital of San Bernardino | Past | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
804 W 7th St
Hanford, CA 93230
Phone (559) 587-0330
1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695
1781 Simpson St
Kingsburg, CA 93631
Phone (559) 315-3566
2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110
2750 Sycamore Dr
Ste 210
Simi Valley, CA 93065
Phone (805) 520-2663
124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304
489 E 21st St
Sn Bernrdno, CA 92404
Phone (909) 882-2973
620 NW 11th St
Ste M202
Hermiston, OR 97838
Phone (541) 667-3804
600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- achenam11475@cityofhope.direct-ci.com
- avinashchenam@sburo.allscriptsdirect.net
- achenam1585231@direct.lhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A139184 | CA | Yes |
Addresses
Primary practice location
489 E 21St St
San Bernardino, CA 92404
Mailing address
2278 Ardemore Dr
Fullerton, CA 92833-4819
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0047351 | Medicaid | CA |
Other providers in San Bernardino, CA
- Elise Chen
- Hsien-Ying Chen
- Miyue Chen
- Szu Ting Chen
- Van Tze Chen
- Yasmin Chene
- Megan Cherene
- Crystal Trinidad Cherpin
- Cherry Blossom Healthcare Palliative & Hospice, Inc.
- Cherry Blossom Home Health, Inc.
All providers in San Bernardino, CA · Urology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.