Organization Active NPI

Independent Medical Specialists Inc

  • Gastroenterology Physician
  • Fresno, CA
National Provider Identifier
1972385078
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
INDEPENDENT MEDICAL SPECIALISTS INC
Practice address
7121 N Whitney Ave
Fresno, CA 93720-0151
Phone
(559) 550-3511
Fax
(937) 795-3327
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Dr. Kandarp Shah, MDNPI 1801815352
Title
President
Phone
(559) 367-8432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

7121 N Whitney Ave
Fresno, CA 93720-0151

Mailing address

6569 N Riverside Dr # 102504
Fresno, CA 93722-9318
Phone (559) 367-8432

Other practice location 1

451 E Almond Ave Ste 103
Madera, CA 93637-5562
Phone (559) 550-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240507003837 CA Part B Supplier - Clinic/Group Practice 4789025826 Receives reassigned benefits from 2 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

6569 N Riverside Dr
#102504
Fresno, CA 93722

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1972385078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 N RIVERSIDE DR # 102504",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937229318",
            "telephone_number": "559-367-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 N WHITNEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200151",
            "telephone_number": "559-550-3511",
            "fax_number": "937-795-3327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 E Almond Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936375562",
            "country_code": "US",
            "telephone_number": "559-550-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDEPENDENT MEDICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KANDARP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-367-8432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.