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JOHNNY RANDHAWA MD
NPI 1063161404
Internal Medicine in Fresno, CA

Active since March 22, 2022PECOS EnrolledAccepts Medicare Assignment
1303 E HERNDON AVE, FRESNO, CA 93720(559) 450-3000 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Johnny Randhawa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNY RANDHAWA MD (NPI 1063161404) is an individual internal medicine provider in Fresno, California, licensed in California (A198729) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063161404
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHNNY RANDHAWACredential: MD
Location Address1303 E HERNDON AVEFresno, CA 93720-3309
Mailing Address1303 E Herndon AveFresno, CA 93720-3309 · (559) 950-3000
Phone(559) 450-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 22, 2022
Last NPPES UpdateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1063161404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A198729
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1303 E HERNDON AVE, Fresno, CA 93720
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johnny Randhawa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355836446
PECOS Enrollment IDI20251216002772
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Johnny Randhawa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Hospitalist Medical Group, Inc
44 mi
Hospitalist
400 W MINERAL KING AVE
Visalia, CA 93291
  • Reassigned Medicare billing, California enrollment
  • 73 clinicians in this Medicare group
NPI 1790925071 (559) 429-4781
Southern California Permanente Medical Group
175 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINA EMAD HANDAL MD
Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
WILLIAM B ETIZ DO
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
DR. THOMAS FUENTEZ JR. CRNA
Nurse Anesthetist, Certified Registered
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
DR. DEREK YIP MD
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
EKTA CHUGH MD
Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
YANG J KIM MD
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
JOHN S STURMAN MD
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-3000
VALLEY NUCLEAR MEDICAL GROUP
Nuclear Medicine (Nuclear Imaging & Therapy)
1303 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 449-3109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnny Randhawa's NPI number?

The NPI number for Johnny Randhawa is 1063161404. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Johnny Randhawa located?

Johnny Randhawa practices at 1303 E Herndon Ave, Fresno, CA 93720. The listed phone number is (559) 450-3000.

What is Johnny Randhawa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Johnny Randhawa enrolled in Medicare?

Yes. Johnny Randhawa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Johnny Randhawa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Randhawa reassigns Medicare benefits to 2 organizations: Valley Hospitalist Medical Group, Inc (Visalia, CA) and Southern California Permanente Medical Group (Lancaster, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnny Randhawa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Johnny Randhawa was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.