NPIMap

Individual provider Active NPI

Chandrasekar Venugopal, MD

  • Diagnostic Radiology Physician
  • Fresno, CA
National Provider Identifier
1972679959
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G73401 Issued in CA
Practice address
1867 E Fir Ave Ste 101
Fresno, CA 93720
Phone
(559) 325-5800
NPI assigned
Nov 28, 2006
Last updated
Jul 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G73401 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X G73401 CA

Addresses

Primary practice location

1867 E Fir Ave Ste 101
Fresno, CA 93720

Mailing address

1867 E Fir Ave Ste 104
Fresno, CA 93720
Phone (559) 325-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060126000870 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5193613172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians
California Imaging Institute Medical Group IncGroup PAC ID 1951325299, 35 clinicians

Practice addresses (Care Compare)

1827 E Fir Ave
Suite 101
Fresno, CA 93720-3860
Phone (559) 256-1975

1867 E Fir Ave
Suite 101
Fresno, CA 93720-3808
Phone (559) 325-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.79 of 100Reported as group
Quality
66.31
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
84.42 of 100Reported as group
Quality
71.24
Improvement activities
40
Cost
75.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02002168INMDObstetrics & Gynecology Physician
G73401CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Imaging Institute Medical Group Inc CurrentSince Jan 1, 2006 Accepting new patients
Advanced Medical Imaging CurrentSince Apr 7, 2006 Accepting new patients
Herndon Healthcare, Inc. PastSince Sep 8, 2003 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center PastSince May 16, 2016 Accepting new patients

Locations

570 N Magnolia Ave
Ste 103
Clovis, CA 93611
Phone (559) 447-4000

729 N Medical Center Dr W
Ste 109
Clovis, CA 93611
Phone (559) 324-6810

1867 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-5800

1867 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 325-5800

6297 N Fresno St
Fresno, CA 93710
Phone (559) 447-4000

6771 N Palm Ave
Fresno, CA 93704
Phone (559) 451-2203

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Regional Medical CenterFresno, CA, CCN 050060 Hospital Corporate Director Jan 1, 2019
Clovis Community Medical CenterClovis, CA, CCN 050492 Hospital Corporate Director Jan 1, 2018
Fresno Community Hospital and Medical CenterFresno, CA, CCN 05T060 Hospital Corporate Director Jan 1, 2016
Community Subacute and Transitional Care CenterFresno, CA, CCN 055258 Skilled nursing facility Corporate Director
Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Jan 1, 2022
Jan 1, 2022
Jan 1, 2022
Jan 1, 2022
Community Home CareFresno, CA, CCN 057248 Home health agency Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1972679959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 E FIR AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-325-5800",
            "fax_number": "559-325-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 E FIR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-325-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENUGOPAL",
        "first_name": "CHANDRASEKAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G73401",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G73401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.