Individual provider Active NPI

Marian Doe, MD

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1861640997
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A105109 Issued in CA
Practice address
30 E River Park PL W
Ste 320
Fresno, CA 93720-1539
Phone
(559) 797-1862
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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 A105109 CA Primary

Addresses

Primary practice location

30 E River Park PL W
Ste 320
Fresno, CA 93720-1539

Mailing address

30 E River Park PL W
Ste 320
Fresno, CA 93720-1539
Phone (559) 797-1862

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
I20090831000388 CA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 7214082007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 E River Park PL W
Suite 320
Fresno, CA 93720-1539
Phone (559) 412-8910

Hospital & facility affiliations

  • Omnia Healthcare, LLC Home health agency, Clovis, CA, CCN 059683
  • Therapeutic Home Healthcare Home health agency, Fresno, CA, CCN 059426
  • Sequoia Home Health, Inc Home health agency, Clovis, CA, CCN 059382
  • HCC Healthcare at Home Home health agency, Fresno, CA, CCN 058292
  • Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
  • Hinds Hospice - Fresno Hospice, Fresno, CA, CCN 051571
  • Saint Agnes Home Health & Hospice Hospice, Fresno, CA, CCN 051538
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

Merit-based Incentive Payment System (MIPS)

Final score
76.07 of 100Reported as individual
Quality
83.33
Improvement activities
40
Cost
29.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A105109CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doe Medical Inc Family Medicine CurrentSince May 1, 2015 Accepting new patients

Locations

7444 N Cedar Ave
Fresno, CA 93720
Phone (559) 325-8170

30 E River Park Pl W
Ste 320
Fresno, CA 93720
Phone (559) 412-8910

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1861640997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E RIVER PARK PL W",
            "address_2": "STE 320",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201539",
            "telephone_number": "559-797-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E RIVER PARK PL W",
            "address_2": "STE 320",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201539",
            "telephone_number": "559-797-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOE",
        "first_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A105109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.