Individual provider Active NPI

Kevin J. Boran, M.D., FACC, FSCAI

  • Interventional Cardiology Physician
  • Fresno, CA
National Provider Identifier
1982673406
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G56843 Issued in CA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000656 CA Practitioner - Interventional CardiologyPractitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician)Practitioner - Peripheral Vascular Disease 5597675280 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Peripheral Vascular Disease
Education
University of Pittsburgh School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical CenterGroup PAC ID 3971409335, 45 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting68
Pacemaker insertion or repair20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G56843CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center Cardiovascular Disease CurrentSince Feb 18, 2010 Accepting new patients
Cardiovascular Consultants of Fresno, a Professional Corporation Cardiovascular Disease CurrentSince Mar 1, 2008 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Jun 12, 2011 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Trinity Home Health Services CurrentSince Feb 18, 2010 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Jun 12, 2011 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

  • Direct secure messaging: kboran2726414@direct.trinity-health.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.