PRANEETHA REDDY NARAHARI MD
NPI 1740253228
Surgery in Fresno, CA

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
72.73/100
CMS Quality Rating
1510 E HERNDON AVE STE 210, FRESNO, CA 93720(559) 450-7200(559) 450-7214 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Praneetha Reddy Narahari Md NPPES

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

PRANEETHA REDDY NARAHARI MD (NPI 1740253228) is an individual surgery provider in Fresno, California, licensed in California (A66871) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1740253228
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NamePRANEETHA REDDY NARAHARICredential: MD
Location Address1510 E HERNDON AVE STE 210Fresno, CA 93720-3333
Mailing Address1105 E Spruce Ave, Suite 201Fresno, CA 93720-3313 · (559) 450-7200 · Fax (559) 450-7214
Fax(559) 450-7214
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
NPI 1740253228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in CA · A66871 Licensed in MA · 152162
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1510 E HERNDON AVE STE 210, Fresno, CA 93720

Other Identifiers 17

Other042472266Healthcare Value Mgmt
Other042472266Private Healthcare System
Other5178691Aetna Us Healthcare
Other54431Childrens Medical Securit
Other1204683First Health
Medicaid3202712MA
Other43247Fallon Community Health
Other7612735Cigna Health Plan
OtherJ21697Blue Shield Indemnity
OtherJ21697Blue Shield Hmo Blue
Other3202712Healthy Start
Other3202712Medicaid Welfare
OtherAA3073Harvard Pilgrim Health
OtherJ21697Blue Care Elect
Other1700178Evercare
Other784059Mvp Health Care
Other042472266One Health Plan

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

Praneetha Reddy Narahari 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 ID1850436429
PECOS Enrollment IDI20100706000101
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.

Areas of Expertise CMS Part B claims 12

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services56 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.
56 services53 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
51 services36 patients
Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563
This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.
38 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
36 services36 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
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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

Reported Quality Measures

Controlling High Blood Pressure
56%57 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
57%23 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
71%950 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
58%655 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
43%608 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%574 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 72% · 255 patients
69%255 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%84 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 186 patients
Patients totalRate: 3% · 189 patients
3%189 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers22 claims510 services$4.92 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.47 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.21 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier12 claims300 services$0.21 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 7

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

Nurse Practitioner
1510 E HERNDON AVE STE 210
FRESNO, CA 93720
Nurse Practitioner
1510 E HERNDON AVE STE 210
FRESNO, CA 93720
Surgery
1510 E HERNDON AVE STE 210
FRESNO, CA 93720
Nurse Practitioner (Family)
1510 E HERNDON AVE STE 210
FRESNO, CA 93720
Colon & Rectal Surgery
1510 E HERNDON AVE STE 210
FRESNO, CA 93720
Surgery
1510 E HERNDON AVE STE 210
FRESNO, CA 93720
Nurse Practitioner (Family)
1510 E HERNDON AVE STE 210
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 Praneetha Narahari's NPI number?

The NPI number for Praneetha Narahari is 1740253228. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Praneetha Narahari located?

Praneetha Narahari practices at 1510 E Herndon Ave Ste 210, Fresno, CA 93720. The listed phone number is (559) 450-7200.

What is Praneetha Narahari's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Praneetha Narahari enrolled in Medicare?

Yes. Praneetha Narahari 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 Praneetha Narahari was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.