PRABHAT ADHIKARI
NPI 1679892004
Hospitalist in Fresno, CA

Active since May 25, 2010PECOS Enrolled
95.23/100
CMS Quality Rating
1180 E SHAW AVE, FRESNO, CA 93710(559) 228-4222 Get Directions Write a Review

NPPES record last updated: July 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prabhat Adhikari NPPES

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

PRABHAT ADHIKARI (NPI 1679892004) is an individual hospitalist provider in Fresno, California, licensed in California (A119498) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679892004
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePRABHAT ADHIKARI
Location Address1180 E SHAW AVEFresno, CA 93710-7812
Mailing Address4258 W Figarden Dr, Apt 216Fresno, CA 93722-8611 · (718) 715-5085
Sole ProprietorNo
Enumeration DateMay 25, 2010
Last NPPES UpdateJuly 20, 2012
NPI 1679892004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A119498
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1180 E SHAW AVE, Fresno, CA 93710

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Prabhat Adhikari 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.

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
$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.

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.

95.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Improvement Activities40
Cost70.46

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
50%76 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Hospitalist
1180 E SHAW AVE, SUIT 101
FRESNO, CA 93710
Internal Medicine
1180 E SHAW AVE, 101
FRESNO, CA 93710
Internal Medicine
1180 E SHAW AVE, SUITE 222
FRESNO, CA 93710
Obstetrics & Gynecology
1180 E SHAW AVE, SUITE 101
FRESNO, CA 93710
Family Medicine
1180 E SHAW AVE, SUITE 101 (CHMG)
FRESNO, CA 93710
Internal Medicine
1180 E SHAW AVE, STE. 125
FRESNO, CA 93710
Internal Medicine
1180 E SHAW AVE, SUITE 101
FRESNO, CA 93710
Internal Medicine
1180 E SHAW AVE
FRESNO, CA 93710

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 Prabhat Adhikari's NPI number?

The NPI number for Prabhat Adhikari is 1679892004. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Prabhat Adhikari located?

Prabhat Adhikari practices at 1180 E Shaw Ave, Fresno, CA 93710. The listed phone number is (559) 228-4222.

What is Prabhat Adhikari's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Prabhat Adhikari enrolled in Medicare?

Yes. Prabhat Adhikari is registered in the Medicare PECOS enrollment system.

What insurance does Prabhat Adhikari accept?

Health plans from Molina Healthcare list Prabhat Adhikari as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prabhat Adhikari was last updated on July 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.