NARAKESARI PRASANNA HERAGU M.D.
NPI 1336259670
Pediatrics - Pediatric Cardiology in Madera, CA

NPI Status: Active since August 30, 2006

Contact Information

9300 VALLEY CHILDRENS PL
CARDIOLOGY
MADERA, CA
ZIP 93636
Phone: (559) 353-6257
Fax: (559) 353-5455

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Quality Reporting
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Pediatrics
Pediatric Cardiology
PECOS Enrolled
Medicare Quality Reporting

About NARAKESARI HERAGU

This page provides the complete NPI Profile along with additional information for Narakesari Heragu, a pediatrician established in Madera, California with a medical specialization in Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1336259670 assigned on August 2006. The practitioner's primary taxonomy code is 2080P0202X with license number C51536 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI: 1336259670
Provider Name: NARAKESARI PRASANNA HERAGU M.D.
Gender: Male
Entity Type: Individual
Location Address: 9300 VALLEY CHILDRENS PL CARDIOLOGY MADERA, CA 93636
Location Phone: (559) 353-6257
Location Fax: (559) 353-5455
Mailing Address: 9300 VALLEY CHILDRENS PL MADERA, CA 93636
Mailing Phone: (559) 353-5700
Mailing Fax: (559) 353-5455
Is Sole Proprietor?: No
Enumeration Date: 08-30-2006
Last Update Date: 04-13-2020
Code Navigator

A pediatrician like Narakesari Heragu is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics Pediatric Cardiology
Taxonomy Code: 2080P0202X
Type: Allopathic & Osteopathic Physicians
License No.: C51536
License State: CA
Taxonomy Description: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Medicare Participation & PECOS Enrollment Status

Narakesari Heragu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Chronic Care and Preventative Care Management for Empaneled Patients	Yes	N/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Documentation of Current Medications in the Medical Record	100%	23
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Implementation of medication management practice improvements	Yes	N/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel Level	Yes	N/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	36%	25
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Use of decision support and standardized treatment protocols	Yes	N/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	3	6	2	5	9	6	7	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	6	6	4	5	18	6	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 4 + 5 + 1 + 8 + 6 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1336259670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. DAVID L PUGATCH MD

Pediatrics

(Pediatric Infectious Diseases)

9300 VALLEY CHILDRENS PL
DIVISION OF PEDIATRIC INFECTIOUS DISEASES
MADERA, CA
ZIP 93636

About NARAKESARI HERAGU

Location Map

Specialty - Primary Taxonomy

Pediatrics Pediatric Cardiology

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Quality Reporting

Reviews for NARAKESARI PRASANNA HERAGU M.D.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Narakesari Heragu's NPI number?

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