DR. ANDRE AUNG-KO HTAY MD
NPI 1285908111
Family Medicine in Fresno, CA

Active since February 23, 2012PECOS EnrolledAccepts Medicare Assignment
2615 E CLINTON AVE, FRESNO, CA 93703(559) 225-6100(559) 248-5225 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Andre Aung-ko Htay Md NPPES

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

DR. ANDRE AUNG-KO HTAY MD (NPI 1285908111) is an individual family medicine provider in Fresno, California, licensed in California (137464) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1285908111
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDRE AUNG-KO HTAYCredential: MD
Location Address2615 E CLINTON AVEFresno, CA 93703-2223
Mailing Address2615 E Clinton AveFresno, CA 93703-2223 · (595) 225-6100 · Fax (559) 248-5225
Fax(559) 248-5225
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 23, 2012
Last NPPES UpdateDecember 22, 2023
NPPES CertifiedJanuary 28, 2020
NPI 1285908111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 137464
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2615 E CLINTON AVE, Fresno, CA 93703

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

Dr. Andre Aung-ko Htay 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 ID5294058889
PECOS Enrollment IDI20231204003255
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 93703 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
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.

Nurse Practitioner (Family)
2615 E CLINTON AVE, VA MEDICAL CENTER SURGICAL SERVICES
FRESNO, CA 93703
Nurse Practitioner (Family)
2615 E CLINTON AVE
FRESNO, CA 93703
Nurse Practitioner (Family)
2615 E CLINTON AVE, SURGICAL SECTION #112
FRESNO, CA 93703
Internal Medicine
2615 E CLINTON AVE
FRESNO, CA 93703
Nurse Practitioner
2615 E CLINTON AVE
FRESNO, CA 93703
Internal Medicine
2615 E CLINTON AVE
FRESNO, CA 93703
Internal Medicine (Cardiovascular Disease)
2615 E CLINTON AVE, E224
FRESNO, CA 93703
Nurse Practitioner (Family)
2615 E CLINTON AVE, MAIL STOP 127
FRESNO, CA 93703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285908111, enumerated as an "individual" on February 23, 2012.

The provider is located at 2615 E CLINTON AVE FRESNO, CA 93703 and the phone number is (559) 225-6100.

Family Medicine with taxonomy code 207Q00000X.