Shaikh B. Matin, MD – Internal Medicine Physician

Key facts

NPI: 1962580852
Entity type: Individual (NPI type 1)
Primary specialty: Internal Medicine Physician 207R00000X
License: A47729 (CA)
Practice address: 7300 N Fresno St
Fresno, CA 93720-2941
Phone: (559) 448-4500
NPI assigned: Nov 1, 2006
Sex: Male
Sole proprietor: No

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.

Central Valley Indian Health Inc Clinic/Center · Prather, CA · NPI 1902025059

Medicare reassignment Care Compare group NPD CA
Central Valley Indian Health Inc Family Medicine Physician · Lemoore, CA · NPI 1215157375

NPD
Central Valley Indian Health, Inc. Clinic/Center · Clovis, CA · NPI 1235670787

NPD

Hospital & facility affiliations 1

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

Fresno Community Hospital and Medical Center General Acute Care Hospital · Clovis, CA · NPI 1316027709

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Internal Medicine
Also: Addiction Medicine, Pain Management
Education: Other, 1984
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Central Valley Indian Health Inc (33 clinicians)

Practice addresses (Care Compare)

2740 Herndon Ave
Clovis, CA 93611-6813
Phone (559) 299-4264

29323 Auberry Rd
Prather, CA 93651-9757
Phone (559) 855-5390

Hospital & facility affiliations

Clovis Community Medical Center Hospital · Clovis, CA · CCN 050492

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20110203000666	CA	Practitioner - Internal Medicine Practitioner - Pain Management Practitioner - Addiction Medicine	3779763099	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Status	New patients
Central Valley Indian Health, Inc.	Current since Sep 16, 2011	Accepting new patients
Central Valley Indian Health Inc	Current	Accepting new patients
Central Valley Indian Health Inc	Current since Sep 16, 2011	Accepting new patients

Locations

2740 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2608

16835 Alkali Dr
Ste M
Lemoore, CA 93245
Phone (559) 924-0460

29369 Auberry Rd
Ste 102
Prather, CA 93651
Phone (559) 855-5390

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician	207R00000X	A47729	CA	Yes

Addresses

Primary practice location

7300 N Fresno St
Fresno, CA 93720-2941

Mailing address

2740 Herndon Ave
Clovis, CA 93611-6813
Phone (559) 299-4264

Other identifiers

Identifier	Type	State	Issuer
00A477290	Medicaid	CA

Other providers in Fresno, CA

All providers in Fresno, CA · Internal Medicine Physician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.