CAROL SUE MACHADO
NPI 1982996450
Surgery in Fresno, CA
About Carol Sue Machado NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL SUE MACHADO (NPI 1982996450) is an individual surgery provider in Fresno, California, licensed in California (A125042) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carol Sue Machado is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Carol Machado reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 296 clinicians in this Medicare group
Sanger, CA 93657
- Reassigned Medicare billing, California enrollment
- 678 clinicians in this Medicare group
Reedley, CA 93654
- Reassigned Medicare billing, California enrollment
- 315 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 7
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.
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.
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.
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.
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 Carol Machado's NPI number?
The NPI number for Carol Machado is 1982996450. It was assigned to this individual provider in the NPPES registry on May 3, 2011.
Where is Carol Machado located?
Carol Machado practices at 1105 E Spruce Ave Suite 201, Fresno, CA 93720. The listed phone number is (559) 450-7200.
What is Carol Machado's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Carol Machado enrolled in Medicare?
Yes. Carol Machado is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Carol Machado's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Machado reassigns Medicare benefits to 3 organizations: Saint Agnes Medical Foundation (Fresno, CA), Adventist Health Physicians Network (Sanger, CA) and Reedley Community Hospital (Reedley, 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 Carol Machado'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 Carol Machado was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Carol Sue Machado · NPI 1982996450
Surgery physician in Fresno, California. Individual provider, active in the CMS NPPES registry since May 3, 2011.
## Identity
- **NPI:** 1982996450 (Entity type: Individual)
- **Enumerated:** May 3, 2011
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** A125042 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1105 E SPRUCE AVE, SUITE 201, Fresno, CA 93720-3313
- **Phone:** (559) 450-7200 · **Fax:** (559) 450-7214
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Saint Agnes Medical Foundation (NPI 1558819482, Fresno, CA); Adventist Health Physicians Network (NPI 1831604818, Sanger, CA); Reedley Community Hospital (NPI 1336167550, Reedley, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** December 12, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1982996450) · Data from the CMS NPPES public registry.