Individual provider Active NPI

Howard David Pettigrew, MD, PHD

  • Allergy Physician
  • Fresno, CA
National Provider Identifier
1891961835
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
A104136 Issued in CA
Practice address
7471 N Fresno St
Fresno, CA 93720-2457
Phone
(559) 436-4500
NPI assigned
Apr 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A104136 CA
Allergy Physician 207KA0200X A104136 CA Primary

Addresses

Primary practice location

7471 N Fresno St
Fresno, CA 93720-2457

Mailing address

7471 N Fresno St
Fresno, CA 93720-2457
Phone (559) 436-4500

Other identifiers 2

IdentifierTypeStateIssuer
GR0043790MedicaidCA
ZZZ21572ZOtherCAMEDICARE PTAN FOR ALL OFFICE LOCATIONS UNDER BAZ, ALLERGY, ASTHMA &SINUS CENTER

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
I20110517000178 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 1951587575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Vermont College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baz Allergy Asthma and Sinus Center IncGroup PAC ID 6507770716, 23 clinicians

Practice addresses (Care Compare)

7471 N Fresno St
Fresno, CA 93720-2457
Phone (559) 436-4500

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
  • Adventist Health Reedley Hospital, Reedley, CA, CCN 050192

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Quality
88.57
Promoting interoperability
96
Improvement activities
40
Cost
75.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baz Allergy, Asthma & Sinus Center Allergy CurrentSince Jan 15, 2011 Accepting new patients
Baz Allergy, Asthma & Sinus Center, Inc. Allergy CurrentSince Jan 15, 2011 Accepting new patients
Baz Allergy, Asthma & Sinus Center, Inc. Allergy Current Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Baz Allergy, Asthma & Sinus Center, Inc. Allergy Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

2021 Herndon Ave
Ste 201
Clovis, CA 93611
Phone (559) 387-5230

2021 Herndon Ave
Ste 102
Clovis, CA 93611
Phone (559) 321-8405

1860 Mowry Ave
Ste 400
Fremont, CA 94538
Phone (510) 284-4100

6643 N Milburn Ave
Ste 101
Fresno, CA 93722
Phone (559) 275-1400

7471 N Fresno St
Fresno, CA 93720
Phone (559) 436-4500

505 N Clovis Ave
Fresno, CA 93727
Phone (559) 412-8847

1560 W Lacey Blvd
Ste 103
Hanford, CA 93230
Phone (559) 582-8500

1415 Badger Flat Rd
Ste A
Los Banos, CA 93635
Phone (209) 710-8684

2311 W Cleveland Ave
Ste 1
Madera, CA 93637

1923 Coffee Rd
Ste 12C
Modesto, CA 95355
Phone (209) 409-8454

563 I St
Reedley, CA 93654
Phone (559) 637-2135

3000 Floral Ave
Selma, CA 93662
Phone (559) 318-9240

1853 Lander Ave
Turlock, CA 95380
Phone (209) 656-1617

Organizations & group practices 6

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 3

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1891961835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7471 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202457",
            "telephone_number": "559-436-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7471 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202457",
            "telephone_number": "559-436-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIGREW",
        "first_name": "HOWARD",
        "middle_name": "DAVID",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A104136",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A104136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0043790",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR ALL OFFICE LOCATIONS UNDER BAZ, ALLERGY, ASTHMA &SINUS CENTER",
            "identifier": "ZZZ21572Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.