DR. FATEMEH BAGHERIANNEJAD ESFAHANI M.D.
NPI 1902197569
Internal Medicine in Fresno, CA

Active since April 29, 2011PECOS EnrolledAccepts Medicare Assignment
85.66/100
CMS Quality Rating
1180 E SHAW AVE STE 101, FRESNO, CA 93710(559) 228-4222 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Fatemeh Bagheriannejad Esfahani M.d. NPPES

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

DR. FATEMEH BAGHERIANNEJAD ESFAHANI M.D. (NPI 1902197569) is an individual internal medicine provider in Fresno, California, licensed in California (A126659) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Escondido, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1902197569
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. FATEMEH BAGHERIANNEJAD ESFAHANICredential: M.D.
Location Address1180 E SHAW AVE STE 101Fresno, CA 93710-7812
Mailing Address8755 N Chestnut Ave Apt 123Fresno, CA 93720-5385 · (214) 796-9936
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateApril 29, 2011
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1902197569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A126659
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.
1180 E SHAW AVE STE 101, Fresno, CA 93710

Secondary Practice Location 1

Location 12185 Citracado PkwyEscondido, CA 92029-4159 · Phone (760) 291-6700

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. Fatemeh Bagheriannejad Esfahani M.d. 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 ID1759501661
PECOS Enrollment IDI20140926002337
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

8

Medicare enrollment records show Fatemeh Esfahani reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1303 E HERNDON AVE
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 962 clinicians in this Medicare group
Internal Medicine
625 THE CITY DR S STE 320
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 187 clinicians in this Medicare group
Family Medicine
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
  • Reassigned Medicare billing, California enrollment
  • 103 clinicians in this Medicare group
Family Medicine
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
  • Reassigned Medicare billing, California enrollment
  • 194 clinicians in this Medicare group
Hospitalist
2185 CITRACADO PKWY
Escondido, CA 92029
  • Reassigned Medicare billing, California enrollment
  • 100 clinicians in this Medicare group
Family Medicine
225 E 2ND AVE
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 111 clinicians in this Medicare group
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
Cardiovascular Disease
1845 E 12TH ST
National City, CA 91950
  • Reassigned Medicare billing, California enrollment
  • 7 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 3

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.

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.
140 services137 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
76 services75 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.
15 services15 patients

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.

85.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Improvement Activities40
Cost51.32

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers48 claims48 services$14.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers51 claims51 services$63.19 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 5

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

Internal Medicine
1180 E SHAW AVE STE 101
FRESNO, CA 93710
Nurse Practitioner (Pediatrics)
1180 E SHAW AVE STE 101
FRESNO, CA 93710
Internal Medicine
1180 E SHAW AVE STE 101
FRESNO, CA 93710
Internal Medicine
1180 E SHAW AVE STE 101
FRESNO, CA 93710
Clinic/Center (Primary Care)
1180 E SHAW AVE STE 101
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 Fatemeh Esfahani's NPI number?

The NPI number for Fatemeh Esfahani is 1902197569. It was assigned to this individual provider in the NPPES registry on April 29, 2011.

Where is Fatemeh Esfahani located?

Fatemeh Esfahani practices at 1180 E Shaw Ave Ste 101, Fresno, CA 93710. The listed phone number is (559) 228-4222.

What is Fatemeh Esfahani's specialty?

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

Is Fatemeh Esfahani enrolled in Medicare?

Yes. Fatemeh Esfahani 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 Fatemeh Esfahani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fatemeh Esfahani reassigns Medicare benefits to 8 organizations: Galen Inpatient Physicians PC (Fresno, CA), Southern California Hospitalist Network Medical Group Inc (Orange, CA), Gn Medical Associates, Inc. (Costa Mesa, CA), Careconnectmd Ca PC (Costa Mesa, CA), Palomar Hospitalist Medical Group, Inc (Escondido, CA) and 3 more organizations, listed in the Medicare section above. 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 Fatemeh Esfahani'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 Fatemeh Esfahani was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.