Individual provider Active NPI

Soumya Pai

  • Surgery Physician
  • Fresno, CA
National Provider Identifier
1902107840
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A118125 Issued in CA
Practice address
1105 E Spruce Ave
Suite 201
Fresno, CA 93720-3313
Phone
(559) 450-7200
Fax
(559) 450-7214
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X A118125 CA Primary

Addresses

Primary practice location

1105 E Spruce Ave
Suite 201
Fresno, CA 93720-3313

Mailing address

1105 E Spruce Ave
Suite 201
Fresno, CA 93720-3313
Phone (559) 450-7200

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
I20160203000635 CA Practitioner - General Surgery 7214231786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enloe Specialty Physicians IncGroup PAC ID 7416111893, 24 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7300

265 Cohasset Rd
Chico, CA 95926-2273
Phone (530) 332-3808

Hospital & facility affiliations

  • Butte Home Health and Hospice Home health agency, Chico, CA, CCN 057679
  • Enloe Health Hospital, Chico, CA, CCN 050039

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
68.68
Promoting interoperability
100
Improvement activities
40
Cost
67.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy44
Melanoma (skin cancer) excision37
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118125CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Foundation Surgery CurrentSince Jan 1, 2017 Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients
Enloe Specialty Physicians, Inc CurrentSince Oct 1, 2020 Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

251 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3980

265 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3808

1720 Esplanade
Ste B
Chico, CA 95926
Phone (530) 332-4530

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1377 E Herndon Ave
Ste 104
Fresno, CA 93720
Phone (559) 450-7455

1303 E Herndon Ave
Ste 431
Fresno, CA 93720

1105 E Spruce Ave
Ste 201
Fresno, CA 93720
Phone (559) 450-2630

Interoperability endpoints

  • Direct secure messaging: spai56238@enloedirect.org

Organizations & group practices 4

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 2

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": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1902107840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E SPRUCE AVE",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203313",
            "telephone_number": "559-450-7200",
            "fax_number": "559-450-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E SPRUCE AVE",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203313",
            "telephone_number": "559-450-7200",
            "fax_number": "559-450-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAI",
        "first_name": "SOUMYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A118125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.