JIVITESH GAURAV
NPI 1376204669
Internal Medicine in Fresno, CA

Active since January 07, 2022PECOS EnrolledAccepts Medicare Assignment
1313 E HERNDON AVE, FRESNO, CA 93720(559) 450-4637 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2024, Apr 10, 2022, Jan 7, 2022 (3 updates tracked since 2022).

About Jivitesh Gaurav NPPES

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

JIVITESH GAURAV (NPI 1376204669) is an individual internal medicine provider in Fresno, California, licensed in California (A197556) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1376204669
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJIVITESH GAURAV
Location Address1313 E HERNDON AVEFresno, CA 93720-3306
Mailing Address4006 W Fountain WayFresno, CA 93722-4689 · (201) 936-9345
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 7, 2022
Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
NPI 1376204669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A197556
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License A197556 (CA)
1313 E HERNDON AVE, Fresno, CA 93720

Secondary Practice Location 1

Location 12749 Linden BlvdBrooklyn, NY 11208-5110 · Phone (718) 277-5100

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

Jivitesh Gaurav 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 ID5597157024
PECOS Enrollment IDI20241025002146
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.

Internal Medicine (Nephrology)
1313 E HERNDON AVE, SUITE 106
FRESNO, CA 93720
Hospitalist
1313 E HERNDON AVE
FRESNO, CA 93720
Internal Medicine (Nephrology)
1313 E HERNDON AVE, SUITE 105
FRESNO, CA 93720
Physician Assistant
1313 E HERNDON AVE
FRESNO, CA 93720
Internal Medicine (Nephrology)
1313 E HERNDON AVE, SUITE 106
FRESNO, CA 93720
Internal Medicine
1313 E HERNDON AVE, SUITE 103
FRESNO, CA 93720
Student in an Organized Health Care Education/Training Program
1313 E HERNDON AVE
FRESNO, CA 93720
Internal Medicine (Interventional Cardiology)
1313 E HERNDON AVE, SUITE 203
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 Jivitesh Gaurav's NPI number?

The NPI number for Jivitesh Gaurav is 1376204669. It was assigned to this individual provider in the NPPES registry on January 7, 2022.

Where is Jivitesh Gaurav located?

Jivitesh Gaurav practices at 1313 E Herndon Ave, Fresno, CA 93720. The listed phone number is (559) 450-4637.

What is Jivitesh Gaurav's specialty?

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

Is Jivitesh Gaurav enrolled in Medicare?

Yes. Jivitesh Gaurav 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 Jivitesh Gaurav was last updated on November 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.