Individual provider Active NPI

Carol Sue Machado

  • Surgery Physician
  • Fresno, CA
National Provider Identifier
1982996450
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A125042 Issued in CA
Practice address
1105 E Spruce Ave
Suite 201
Fresno, CA 93720-3313
Phone
(559) 450-7200
Fax
(559) 450-7214
NPI assigned
May 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X A125042 CA Primary

Addresses

Primary practice location

1105 E Spruce Ave
Suite 201
Fresno, CA 93720-3313

Mailing address

1105 E Spruce Ave
Suite 201
Fresno, CA 93720-3313
Phone (559) 450-7200

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
I20161202000619 CA Practitioner - General Surgery 3870873177 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, San Diego School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

1025 N Douty St
Hanford, CA 93230-3722

1524 W Lacey Blvd
Hanford, CA 93230-5965

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

5400 W Hillsdale Ave
Visalia, CA 93291-8222
Phone (559) 738-7500

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784
  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy17
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125042CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care Inc CurrentSince Aug 6, 2018 Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network Surgery CurrentSince Apr 1, 2023 Accepting new patients
Reedley Community Hospital CurrentSince Jun 1, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 1, 2023 Accepting new patients
Saint Agnes Medical Foundation Surgery CurrentSince Jan 1, 2017 Accepting new patients
Visalia Medical Clinic, Inc. Surgery Current Accepting new patients
Reedley Community Hospital CurrentSince Jun 1, 2024 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Adventist Health Tulare Past Accepting new patients
Reedley Community Hospital Past Accepting new patients
Hanford Community Hospital Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Adventist Health Physicians Network Past Accepting new patients

Locations

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1377 E Herndon Ave
Ste 104
Fresno, CA 93720
Phone (559) 450-7455

1105 E Spruce Ave
Ste 201
Fresno, CA 93720
Phone (559) 450-2630

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

1524 W Lacey Blvd
Ste 202
Hanford, CA 93230
Phone (559) 537-0315

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1041 Rose Ave
Selma, CA 93662
Phone (559) 856-6090

2059 Hillman St
Tulare, CA 93274
Phone (559) 605-0090

5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Interoperability endpoints

  • Direct secure messaging: carolmachado@vmchealth.allscriptsdirect.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1982996450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E SPRUCE AVE",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203313",
            "telephone_number": "559-450-7200",
            "fax_number": "559-450-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E SPRUCE AVE",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203313",
            "telephone_number": "559-450-7200",
            "fax_number": "559-450-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "CAROL",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A125042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.