Active NPI 1740253228 Individual Practitioner Female Practitioner

Dr. Praneetha Reddy Narahari , MD

Surgery • Fresno, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Praneetha Narahari, MD is a certified Surgery practicing in Fresno, CA. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Narahari delivers high-quality medical care to the local community at 1510 E HERNDON AVE STE 210.

Dr. Narahari is affiliated with Saint Agnes Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1510 E Herndon Ave Ste 210

Fresno, CA 937203333

Telephone 5594507200

Fax 5594507214

Associated Practice Facility / Clinic

🏢 Robin L. Reisz, Dds. A Professional Corporation. Facility NPI 1962447557

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fresno, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +14.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

73 Specialists

Practicing in Fresno, CA (3346 Statewide)

Telehealth Adoption Rate

23.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Narahari (38 Years) 38 Yrs

Fresno Specialty Average (23.5 Years) 23.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$347.00	$166.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	56	$342.00	$127.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	53	$504.00	$164.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	36	$110.24	$48.30
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	38	38	$1856.00	$692.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$458.00	$216.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$233.00	$112.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	20	$179.00	$77.39
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$189.00	$92.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$277.00	$130.42
49505 Repair of groin hernia (5 years or older)	15	15	$1140.27	$508.20
45300 Diagnostic examination of rectum and large bowel using an endoscope	12	12	$281.00	$21.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$287.31	$171.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	75	$342.00	$129.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	74	33	$97.00	$49.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$192.50	$113.92
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$189.00	$91.67
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	29	29	$1808.00	$677.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$277.00	$132.74
49505 Repair of groin hernia (5 years or older)	14	14	$1069.00	$470.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$504.00	$176.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	120	118	$342.00	$135.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$260.00	$170.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	29	$97.00	$38.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	21	$179.00	$71.77
99213 Established patient office or other outpatient visit, typically 15 minutes	39	34	$189.00	$93.65
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	37	37	$1856.00	$703.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$170.00	$109.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$277.00	$132.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	111	109	$342.00	$138.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$260.00	$173.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	27	$97.00	$39.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$277.00	$135.52
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	37	37	$1856.00	$666.29
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$189.00	$90.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$170.00	$117.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	15	$179.00	$73.44
49020 Drainage of abdominal abscess or infection, open procedure	16	16	$3914.50	$1315.55
49505 Repair of groin hernia (5 years or older)	16	16	$718.00	$536.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$260.00	$171.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	74	71	$342.00	$141.31
99221 Initial hospital inpatient care per day, typically 30 minutes	45	44	$251.00	$104.30
99213 Established patient office or other outpatient visit, typically 15 minutes	45	42	$189.00	$77.80
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	37	37	$1818.38	$725.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$277.00	$114.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	22	$179.00	$74.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	18	$97.00	$40.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$170.00	$113.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	123	119	$251.00	$102.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$260.00	$170.25
99213 Established patient office or other outpatient visit, typically 15 minutes	58	49	$189.00	$76.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	34	$97.00	$39.39
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	32	32	$1812.50	$664.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$170.00	$112.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	16	$179.00	$74.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$277.00	$113.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	12	$115.00	$47.39
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	12	11	$3961.00	$1538.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$260.00	$167.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	60	$97.00	$39.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	82	$342.00	$136.85
99221 Initial hospital inpatient care per day, typically 30 minutes	50	50	$251.00	$102.07
99213 Established patient office or other outpatient visit, typically 15 minutes	47	40	$189.00	$72.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	29	$277.00	$110.98
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	29	29	$1856.00	$639.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$170.00	$110.70
49568 Placement of mesh to repair incisional or abdominal hernia	13	13	$676.00	$257.73
49505 Repair of groin hernia (5 years or older)	11	11	$718.00	$477.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$504.00	$196.76
44970 Removal of appendix using an endoscope	11	11	$1569.00	$603.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	98	62	$97.00	$39.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	91	88	$504.00	$206.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$260.00	$165.41
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	28	28	$1856.00	$686.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$277.00	$111.30
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$189.00	$73.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$342.00	$138.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$170.00	$111.42

Medical Specialties & State Licenses

CMS Verified: 2024-07-10

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A66871

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 152162

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3202712 (MA)

Commercial Insurance / Payer ID Private Healthcare System

042472266

Commercial Insurance / Payer ID Aetna Us Healthcare

5178691

Commercial Insurance / Payer ID Childrens Medical Securit

54431

Commercial Insurance / Payer ID First Health

1204683

Commercial Insurance / Payer ID Fallon Community Health

43247

Commercial Insurance / Payer ID Cigna Health Plan

7612735

Commercial Insurance / Payer ID Blue Shield Indemnity

J21697

Commercial Insurance / Payer ID Blue Shield Hmo Blue

J21697

Commercial Insurance / Payer ID Healthy Start

3202712

Hospital & Practice Group Affiliations

Saint Agnes Medical Foundation

1303 E Herndon Ave, Fresno, CA 937203309

Phone: 5594503433

Saint Agnes Medical Foundation

1221 E Spruce Ave, Fresno, CA 937203374

Phone: 5594505777

Saint Agnes Medical Foundation

1379 E Herndon Ave, Fresno, CA 937203309

Phone: 5594506388

Saint Agnes Medical Foundation

1105 E Spruce Ave, Fresno, CA 937203313

Phone: 5594502630

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Arnold Escarcega , PA-C

Physician Assistant

NPI 1124020706

Physician Assistant (Certified)

Kanwaldip Bains , FNP

Nurse Practitioner

NPI 1316623317

Family Nurse Practitioner

Dr. James Svoboda , MD

Surgery

NPI 1457692055

Doctor of Medicine (M.D.)

Dr. Deepa Sharma , MD

Colon & Rectal Surgery

NPI 1689866493

Doctor of Medicine (M.D.)

Dr. James Bruce , MD

Colon & Rectal Surgery

NPI 1699859454

Doctor of Medicine (M.D.)

Dr. Russell Martin , MD

Surgery

NPI 1770741217

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location July 10, 2024

Registered at 1510 E HERNDON AVE STE 210, FRESNO, CA 937203333 (Tel: 5594507200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2024

Surgery (License #152162 in MA)

✅

NPI Profile Active January 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2014

Registered at 1105 E SPRUCE AVE, SUITE 201, FRESNO, CA 937203313 (Tel: 5594507200)

📍

Updated Business Mailing Address January 27, 2014

Registered at 1105 E SPRUCE AVE, SUITE 201, FRESNO, CA 937203313 (Tel: 5594507200)

👤

Provider Name / Credentials Updated January 27, 2014

Recorded as PRANEETHA NARAHARI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2014

Surgery (License #A66871 in CA)

🟢

Initial NPI Registration & Enumeration February 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740253228

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 07, 2006

Last Update: July 10, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1105 E Spruce Ave, Suite 201

Fresno, CA 937203313

Phone: 5594507200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.