Active NPI
Kevin J. Boran, M.D., FACC, FSCAI
- Interventional Cardiology Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- G56843
- Practice address
- 1207 E Herndon Ave
Fresno, CA 93720-3235 - Phone
- (559) 432-4303
- Fax
- (559) 432-4574
- NPI assigned
- Mar 16, 2006
- Last updated
- Mar 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G56843 | CA | |
| Interventional Cardiology Physician | 207RI0011X | G56843 | CA | Primary |
Addresses
Primary practice location
1207 E Herndon Ave
Fresno, CA 93720-3235
Mailing address
1207 E Herndon Ave
Fresno, CA 93720-3235
Phone (559) 432-4303
Other practice location 1
729 N Medical Center Dr W
Clovis, CA 93611-6879
Phone (559) 432-4303
Other practice location 2
1193 E Herndon Ave Ste 105
Fresno, CA 93720-3156
Phone (559) 432-4303
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Pittsburgh School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1207 E Herndon Ave
Fresno, CA 93720-3235
Phone (559) 432-4303
1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3301
2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000
729 W Medical Ctr Dr W
Suite 123
Clovis, CA 93611-6880
Phone (559) 432-4303
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.47 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 71.58
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 68 |
| Pacemaker insertion or repair | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G56843 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Agnes Medical Center | Cardiovascular Disease | Current | Accepting new patients |
| Cardiovascular Consultants of Fresno, a Professional Corporation | Cardiovascular Disease | Current | Accepting new patients |
| Fresno Community Hospital and Medical Center | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Current | Accepting new patients | |
| Trinity Home Health Services | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
729 N Medical Center Dr W
Clovis, CA 93611
Phone (559) 320-0531
729 N Medical Center Dr W
Ste 123
Clovis, CA 93611
Phone (559) 432-4303
1193 E Herndon Ave
Ste 100
Fresno, CA 93720
Phone (559) 224-1770
1193 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-6226
1193 E Herndon Ave
Ste 105
Fresno, CA 93720
Phone (559) 432-4303
1193 E Herndon Ave
Ste 106
Fresno, CA 93720
Phone (559) 432-4303
1207 E Herndon Ave
Fresno, CA 93720
Phone (559) 432-4303
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930
Interoperability endpoints
- kboran2726414@direct.trinity-health.org
- kevin.boran@heart.directbygreenway.com
Organizations & group practices 7
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.
-
dba Cardiovascular Consultants Heart Center
- Interventional Cardiology Physician
- Fresno, CA
- NPI 1497724355
Cardiovascular Disease
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1710151881
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
Cardiovascular Disease
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1700518438
-
- General Acute Care Hospital
- Clovis, CA
- NPI 1932475589
-
dba Saint Agnes Home Health and Hospice, LLC
- Community Based Hospice Care Agency
- Fresno, CA
- NPI 1750478293
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
dba Clovis Community Medical Center
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1982673406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203235",
"telephone_number": "559-432-4303",
"fax_number": "559-432-4574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203235",
"telephone_number": "559-432-4303",
"fax_number": "559-432-4574"
}
],
"practiceLocations": [
{
"address_1": "729 N Medical Center Dr W",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "CA",
"postal_code": "936116879",
"country_code": "US",
"telephone_number": "559-432-4303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1193 E Herndon Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203156",
"country_code": "US",
"telephone_number": "559-432-4303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORAN",
"first_name": "KEVIN",
"middle_name": "J.",
"credential": "M.D., FACC, FSCAI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G56843",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "G56843",
"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 Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.