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NIDHI MEHROTRA M.D.
NPI 1679657043
Pediatrics in Fresno, CA

Active since October 24, 2006PECOS EnrolledCLIA 05D1094881 · Waiver
6769 N WILLOW AVE, SUITE 101, FRESNO, CA 93710(559) 325-2400(888) 611-8817 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nidhi Mehrotra M.d. NPPES

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

NIDHI MEHROTRA M.D. (NPI 1679657043) is an individual pediatrics provider in Fresno, California, licensed in California (A72677) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through January 27, 2027.

NPPES Registry Identity

NPI1679657043
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNIDHI MEHROTRACredential: M.D.
Location Address6769 N WILLOW AVE, SUITE 101Fresno, CA 93710-5900
Mailing Address6769 N Willow Ave, Suite 101Fresno, CA 93710-5900 · (559) 325-2400 · Fax (888) 611-8817
Phone(559) 325-2400
Fax(888) 611-8817
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateFebruary 26, 2016
✔ NPI 1679657043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A72677
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6769 N WILLOW AVE, Fresno, CA 93710
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Other Identifiers 5

OtherA072677Health Net Medi- Cal
Medicare UPINH50703CA
Medicare ID-Type Unspecified00A726770CA
Medicaid00A726770CA
Medicare UPINH02135CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nidhi Mehrotra M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1094881

Nidhi Mehrotra MD · Fresno, CA
Active · expires Jan 27, 2027
CLIA Number05D1094881
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorNidhi Mehrotra MD
Laboratory Phone(559) 325-2400
Laboratory LocationNidhi Mehrotra MD6769 N Willow Ave Ste 101, Fresno, CA 93710
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93710 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

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

NIDHI MEHROTRA MD
Pediatrics
6769 N WILLOW AVE, SUITE 101
FRESNO, CA 93710
Fresno County (559) 325-2400

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 Nidhi Mehrotra's NPI number?

The NPI number for Nidhi Mehrotra is 1679657043. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Nidhi Mehrotra located?

Nidhi Mehrotra practices at 6769 N Willow Ave Suite 101, Fresno, CA 93710. The listed phone number is (559) 325-2400.

What is Nidhi Mehrotra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nidhi Mehrotra enrolled in Medicare?

Yes. Nidhi Mehrotra is registered in the Medicare PECOS enrollment system.

Does Nidhi Mehrotra hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1094881) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nidhi Mehrotra was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.