Individual provider Active NPI

Kent Saunders, M.D.

  • Dermatology Physician
  • Fresno, CA
National Provider Identifier
1881844116
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C170850 Issued in CA
Practice address
6730 N West Ave
Fresno, CA 93711-4301
Phone
(559) 439-3000
Fax
(559) 439-3004
NPI assigned
Sep 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X C170850 CA Primary

Addresses

Primary practice location

6730 N West Ave
Fresno, CA 93711-4301

Mailing address

6730 N West Ave
Fresno, CA 93711-4301
Phone (559) 439-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address saunders@boswell.emadirect.md Direct

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
I20210125000480 CA Practitioner - Dermatology 8628482114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J. Scott Boswell, MD a Medical CorporationGroup PAC ID 4880849371, 14 clinicians

Practice addresses (Care Compare)

5709 N W Ave
Fresno, CA 93711-2366
Phone (559) 439-3000

6730 N W Ave
Fresno, CA 93711-4301
Phone 5594393000215

Merit-based Incentive Payment System (MIPS)

Final score
94.58 of 100Reported as group
Quality
99.33
Improvement activities
40
Cost
82.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision114
Removal of skin lesions4989
Removal of nail tissue1-10
Skin biopsy1215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C170850CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Scott Boswell, MD a Medical Corporation Dermatology CurrentSince Nov 1, 2021 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Douglas R Swinehart M D Professional Corporation Dermatology Past Accepting new patients

Locations

5701 N West Ave
Fresno, CA 93711
Phone (559) 439-3000

6730 N West Ave
Ste 115
Fresno, CA 93711
Phone (559) 261-9320

5709 N West Ave
Fresno, CA 93711
Phone (559) 243-9990

6730 N West Ave
Fresno, CA 93711
Phone (559) 439-3000

Interoperability endpoints

  • Direct secure messaging: saunders@boswell.emadirect.md

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1881844116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937114301",
            "telephone_number": "559-439-3000",
            "fax_number": "559-439-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937114301",
            "telephone_number": "559-439-3000",
            "fax_number": "559-439-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C170850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saunders@boswell.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6730 N West Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937114301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.