Kyrian C Obidiegwu

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2021 Herndon Ave # 101
Clovis, CA 93611-6316

Phone

(510) 861-8246

NPI assigned

Aug 31, 2020

Last updated

Oct 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Foundation Medical GroupGroup PAC ID 0345406294, 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresno Surgical Hospital Hospital, Fresno, CA, CCN 050708

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyrian.obidiegwu.p1@direct.spocortho.nextgenshare.com

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.

• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1811258510
  Medicare reassignment Care Compare group NPD (past)
• Sierra Pacific Orthopaedic Center Medical Group, Inc.

  • Specialist
  • Fresno, CA
  • NPI 1285669655
  Medicare reassignment
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1003329491
  NPD
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Orthopaedic Surgery Physician
  • Fresno, CA
  • NPI 1376056721
  NPD
• Sierra Pacific Orthopaedic Center Medical Group Inc

  • Specialist
  • Fresno, CA
  • NPI 1669967311
  NPD
• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  NPD (past)
• Fresno Surgery Center LP

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205834694
  NPD (past)
• Presbyterian Healthcare Services

  dba Plains Regional Medical Center

  • Rural Acute Care Hospital
  • Clovis, NM
  • NPI 1629053509
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fresno Surgery Center LP

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205834694
  Care Compare affiliation

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1891309688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25639",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 HERNDON AVE # 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116316",
            "telephone_number": "510-861-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIDIEGWU",
        "first_name": "KYRIAN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Martin O'Bara, P.T.
• Terrence Patraic O'Collins, D.C.
• Patricia Florence O'Lague, M.S.
• Tierney O'Mara
• Stephanie-Ann Rosemary Obeso
• Melissa Ochoa
• Ian Ocrant, M.D.
• Jai-Joon Oh, M.D.
• Jessica Rodriguez Ohanesian, PA-C
• Odira Ngozi Okereke, MD

• Physician Assistant in Clovis, CA
• Providers in Clovis, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.