DR. NADER MAGDY REZKALLA MD
NPI 1386266724
Family Medicine in Fresno, CA

Active since May 07, 2020PECOS EnrolledAccepts Medicare Assignment
72.73/100
CMS Quality Rating
1303 E HERNDON AVE STE 850, FRESNO, CA 93720(559) 450-3000 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nader Magdy Rezkalla Md NPPES

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

DR. NADER MAGDY REZKALLA MD (NPI 1386266724) is an individual family medicine provider in Fresno, California, licensed in California (A185455) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Richland, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386266724
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NADER MAGDY REZKALLACredential: MD
Location Address1303 E HERNDON AVE STE 850Fresno, CA 93720-3309
Mailing Address1111 E Spruce Ave Ste 431Fresno, CA 93720-3330 · (559) 450-7449
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 7, 2020
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1386266724 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 · A185455
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.
1303 E HERNDON AVE STE 850, Fresno, CA 93720

Secondary Practice Location 1

Location 1940 Northgate DrRichland, WA 99352-3505 · Phone (509) 942-2516

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

Dr. Nader Magdy Rezkalla 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 ID2466874938
PECOS Enrollment IDI20230919004229
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

3

Medicare enrollment records show Nader Rezkalla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1303 E HERNDON AVE, SUITE 850
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 296 clinicians in this Medicare group
Hospitalist
1680 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 198 clinicians in this Medicare group
Internal Medicine
4 PAVONA
Newport Coast, CA 92657
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
300 services114 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
177 services177 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
79 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services31 patients

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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.14
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims25 services$5.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Neurology)
1303 E HERNDON AVE STE 850
FRESNO, CA 93720
Internal Medicine (Critical Care Medicine)
1303 E HERNDON AVE STE 850
FRESNO, CA 93720
Internal Medicine
1303 E HERNDON AVE STE 850
FRESNO, CA 93720
Internal Medicine
1303 E HERNDON AVE STE 850
FRESNO, CA 93720
Hospitalist
1303 E HERNDON AVE STE 850
FRESNO, CA 93720
Internal Medicine
1303 E HERNDON AVE STE 850
FRESNO, CA 93720
Internal Medicine (Hospice and Palliative Medicine)
1303 E HERNDON AVE STE 850
FRESNO, CA 93720
Hospitalist
1303 E HERNDON AVE STE 850
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 Nader Rezkalla's NPI number?

The NPI number for Nader Rezkalla is 1386266724. It was assigned to this individual provider in the NPPES registry on May 7, 2020.

Where is Nader Rezkalla located?

Nader Rezkalla practices at 1303 E Herndon Ave Ste 850, Fresno, CA 93720. The listed phone number is (559) 450-3000.

What is Nader Rezkalla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nader Rezkalla enrolled in Medicare?

Yes. Nader Rezkalla 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 Nader Rezkalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nader Rezkalla reassigns Medicare benefits to 3 organizations: Saint Agnes Medical Foundation (Fresno, CA), Superior Hospitalist Medical Group Inc (Los Angeles, CA) and Socal Hospitalists (Newport Coast, 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 Nader Rezkalla'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 Nader Rezkalla was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.