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: August 02, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Nurse Anesthetist, Certified Registered
1303 E HERNDON AVE
FRESNO, CA 93720
Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Student in an Organized Health Care Education/Training Program
1303 E HERNDON AVE
FRESNO, CA 93720
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Anesthesiology
1303 E HERNDON AVE
FRESNO, CA 93720
Nuclear Medicine (Nuclear Imaging & Therapy)
1303 E HERNDON AVE
FRESNO, CA 93720

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.

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 11 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.