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Pankaj Bharati, MD

Critical Care (Intensivists) · Fresno

NPI 1588970024

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
20 years
Graduated 2006

Offices

1 location · Saint Agnes Medical Foundation · 161 clinicians in this group

Looking this up.

Hospitals listed: Saint Agnes Medical Center. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Bharati’s office at (559) 450-7200 to ask if they take your plan before you enroll.

California Medical Board record

Licence A123662 · Current

Licensed to practise in California · since 2012 · expires 2028-09-30 · University of Dhaka, Jahurul Islam Medical College & Hospital.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Internal Medicine - Critical Care Medicine
  • American Board of Internal Medicine - Internal Medicine

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Saint Agnes Medical CenterFresno, CAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Trinity Health, which runs 105 hospitals in 16 statesPatients rate it 3 of 5 · 76% would definitely recommend it
    Overall rating: 2 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.274, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.312, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.141, Oct 2024 – Sep 2025
See every measure and the patient survey for Saint Agnes Medical Center

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 6 the same, 0 worse of 8 measures. Readmissions: 0 better, 6 the same, 3 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Saint Agnes Medical Center
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.274BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.312BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.141BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.18 to 1.94) · 2,342 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.02 (0.76 to 1.27)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths197.82 (152.64 to 243.01) · 103 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths3.9 · 105 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.3 · 300 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.9 · 295 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.8 · 768 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.8 · 969 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.2 · 304 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.7 · 4,305 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.06 to 0.42) · 11,641 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.07 to 0.43) · 12,213 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.76 (2.91 to 6.61) · 2,466 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.09 (0 to 2.49) · 864 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.61 (0.26 to 2.96) · 2,362 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.1 (5.39 to 14.81) · 900 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.4 (1.2 to 7.59) · 882 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.84 (0.41 to 3.27) · 541 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.67 (0.14 to 1.19) · 9,626 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.9 · 58 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0.835No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections1.182No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.004No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.8 · 412 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.6 · 1,002 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits28.8 · 296 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits25.5 · 894 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits17.8 · 981 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.1 · 1,061 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5 · 56 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits13.4 · 150 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 412 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.3 (9.6 to 15.9) · 1,324 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 863 casesNo differentJan 2024 – Dec 2024

What patients said (812 patients answered, 32% of those asked)

Patient survey stars by topic at Saint Agnes Medical Center
Cleanliness4
Nurse communication3
Doctor communication2
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Saint Agnes Medical Center
Room was "always" clean73%
Nurses "always" communicated well73%
Doctors "always" communicated well74%
Staff "always" explained61%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully73%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)71%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand68%
Nurses "always" listened carefully70%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital76%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms87%

Original Medicare doctor bills

$106,117

Medicare paid this office $106,117 for 219 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Critical care, first 30-74 minutes156$73,790$163
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes117$19,907$91
Critical care, each additional 30 minutes21$2,306$82
Hospital discharge day management, more than 30 minutes20$1,895$90
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$1,482$62
See all 8 services
Every Original Medicare service billed
Critical care, first 30-74 minutes156$73,790$163
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes117$19,907$91
Critical care, each additional 30 minutes21$2,306$82
Hospital discharge day management, more than 30 minutes20$1,895$90
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$1,482$62
Insertion of non-tunneled central venous tube for infusion (5 years or older)17$1,154$64
Insertion of artery tube for blood sampling or infusion through skin14$504$34
Ultrasonic guidance for blood vessel access16$181$11

Procedures year by year

Procedures billed to Original Medicare by year
Procedure201920202021202220232024
Insertion of non-tunneled central venous tube for infusion (5 years or older)–1117242018
Emergent insertion of breathing tube into windpipe using an endoscope–14171213–
Irrigation and suction of lung airways to obtain cells using an endoscope–––1211–
Insertion of tube into vena cava––17–––
Insertion of artery tube for blood sampling or infusion through skin–––––15

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

219 Original Medicare patients in 2024. Average age 74 · Under 65 11% · 85 and older 16% · Women 43% · Also on Medicaid 47% · Health risk score 2.80. Above the middle of the specialty; the typical hospitalist clinician is at 2.49.

Conditions among them: High blood pressure 75% · Diabetes 67% · Coronary heart disease 65% · Heart failure 65% · Chronic kidney disease 58% · Atrial fibrillation 50% · COPD 37% · Depression 34% · Stroke 21% · Dementia 20% · Cancer 19%.

The office billed $437,664, Medicare allowed $134,500 and paid $106,117; for 840 services of 22 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024219840742.80$437,664$106,117
2023217742742.64$426,884$102,066
2022198643742.81$351,707$85,777
2021225772743.12$482,725$118,301
2020276898743.11$542,570$139,966
2019118370752.57$242,793$60,815
20184454702.05$15,823$4,587
2017299696752.38$181,343$55,030
20165421,350752.11$336,906$106,977
2015439980752.35$234,116$76,494
2014191389781.72$123,250$38,753
20134888792.13$24,978$7,857

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 7 services

Original Medicare services billed in 2023
Critical care, first 30-74 minutes164$78,379$166
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes70$9,030$94
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes32$3,217$63
Hospital discharge day management, more than 30 minutes16$1,467$92
Emergent insertion of breathing tube into windpipe using an endoscope13$1,421$109
Insertion of non-tunneled central venous tube for infusion (5 years or older)19$1,310$66
Irrigation and suction of lung airways to obtain cells using an endoscope11$1,152$105

2022: 6 services

Original Medicare services billed in 2022
Critical care, first 30-74 minutes146$61,230$173
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes95$13,904$82
Hospital discharge day management, more than 30 minutes18$1,639$86
Insertion of non-tunneled central venous tube for infusion (5 years or older)22$1,550$65
Emergent insertion of breathing tube into windpipe using an endoscope12$1,292$108
Irrigation and suction of lung airways to obtain cells using an endoscope12$1,079$90

2021: 8 services

Original Medicare services billed in 2021
Critical care, first 30-74 minutes195$101,730$179
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes55$4,903$85
Emergent insertion of breathing tube into windpipe using an endoscope17$1,835$108
Hospital discharge day management, more than 30 minutes18$1,676$88
Insertion of tube into vena cava17$1,444$85
Critical care, each additional 30 minutes15$1,432$90
Insertion of non-tunneled central venous tube for infusion (5 years or older)16$1,098$65
Ultrasonic guidance for blood vessel access18$215$11

2020: 6 services

Original Medicare services billed in 2020
Critical care, first 30-74 minutes214$119,505$182
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes80$9,733$86
Hospital discharge day management, more than 30 minutes24$2,189$91
Emergent insertion of breathing tube into windpipe using an endoscope13$1,553$111
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$1,194$60
Insertion of non-tunneled central venous tube for infusion (5 years or older)11$709$64

2019: 1 service

Original Medicare services billed in 2019
Critical care, first 30-74 minutes107$56,254$180

2018: 1 service

Original Medicare services billed in 2018
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$767$59

2017: 9 services

Original Medicare services billed in 2017
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes156$17,830$57
Initial hospital care with moderate level of medical decision making at least 75 minutes57$9,301$160
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes71$8,339$83
Initial hospital observation care per day, typically 70 minutes38$5,440$143
Hospital discharge day management, more than 30 minutes62$5,401$83
Hospital discharge day management, 30 minutes or less40$2,344$59
Initial hospital observation care per day, typically 50 minutes16$1,751$109
Hospital observation care on day of discharge27$1,488$55
Follow-up observation care per day, typically 25 minutes11$646$54

2016: 8 services

Original Medicare services billed in 2016
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes308$37,368$57
Initial hospital care with moderate level of medical decision making at least 75 minutes126$20,419$160
Hospital discharge day management, more than 30 minutes194$17,240$85
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes99$13,420$82
Initial hospital observation care per day, typically 70 minutes63$9,181$146
Hospital observation care on day of discharge42$2,375$57
Hospital discharge day management, 30 minutes or less24$1,394$58
Follow-up observation care per day, typically 25 minutes15$1,105$58

2015: 11 services

Original Medicare services billed in 2015
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes218$25,133$57
Initial hospital care with moderate level of medical decision making at least 75 minutes81$12,878$157
Hospital discharge day management, more than 30 minutes118$10,456$86
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes70$7,042$83
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes43$4,789$109
Initial hospital observation care per day, typically 50 minutes38$4,003$105
Initial hospital observation care per day, typically 70 minutes24$3,525$147
Hospital discharge day management, 30 minutes or less39$2,164$55
Hospital observation care on day of discharge29$1,681$58
Follow-up observation care per day, typically 25 minutes16$1,039$58
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes16$681$31

2014: 7 services

Original Medicare services billed in 2014
Initial hospital care with moderate level of medical decision making at least 75 minutes85$14,093$158
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes52$5,780$81
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes55$4,337$56
Critical care, first 30-74 minutes19$4,172$174
Initial hospital observation care per day, typically 70 minutes19$2,797$147
Hospital discharge day management, 30 minutes or less34$2,193$56
Hospital discharge day management, more than 30 minutes19$1,620$85

2013: 2 services

Original Medicare services billed in 2013
Initial hospital care with moderate level of medical decision making at least 75 minutes17$2,654$156
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes12$941$55

Medicaid work

$7,585 in 2024

Medicaid paid $7,585 for 415 billed services this clinician did in 2024, up to 22 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes272$6,284
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES143$1,301
Medicaid work by year
2024415222$7,585
2023410227$11,073
2022312221$4,253
2021147119$0
202058115$122
201974115$0
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes394$11,032
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES16$41

2022

Largest Medicaid services in 2022
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes215$3,874
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES97$380

2021

Largest Medicaid services in 2021
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes147$0

2020

Largest Medicaid services in 2020
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes58$122

2019

Largest Medicaid services in 2019
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes74$0

Drugs they prescribed that Part D paid

$1,496

Pharmacies billed $1,496 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 32) in 2024. Too few prescriptions to judge: with under about 50 a year, a handful of patients can swing this share.

23 generic and fewer than 11 brand-name prescriptions · $1,496 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Year by year

Part D prescribing by year
202432None0% (0)None$1,496
201714766None24%$11,304
201621892None19%$12,068
201515071NoneNone$7,950
20146826None18%$1,937
20134613None30%$1,250

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2017: 1 drug

Part D drugs prescribed in 2017
Prednisone15$56$4

2016: 2 drugs

Part D drugs prescribed in 2016
Prednisone25$106$4
Levofloxacin14$74$5

2015: 2 drugs

Part D drugs prescribed in 2015
Prednisone17$75$4
Levofloxacin12$60$5

Money from drug and device companies

$485 in 2025

Industry payments by year
202546None$485
2024516$6,250$8,177
2023512$2,050$3,101
202223None$323
202011None$143

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
StrykerFlowtriever$268
3 payments
  • Meals for Flowtriever · 2025-11-19 · $103
  • Meals for Flowtriever · 2025-09-22 · $92
  • Meals for Ct Thrombectomy System Kit · 2025-05-06 · $73
AbiomedNone$124
1 payment
  • Meals · 2025-08-12 · $124
MedtronicNone$69
1 payment
  • Meals · 2025-01-23 · $69
Viatris SpecialtyYupelri$25
1 payment
  • Meals for Yupelri · 2025-03-06 · $25
See all 6 published payments
Every published payment
StrykerMeals · 2025-11-19Flowtriever$103
StrykerMeals · 2025-09-22Flowtriever$92
AbiomedMeals · 2025-08-12None$124
StrykerMeals · 2025-05-06Ct Thrombectomy System Kit$73
Viatris SpecialtyMeals · 2025-03-06Yupelri$25
MedtronicMeals · 2025-01-23None$69
See earlier years (2024, 2023, 2022, 2020)

2024: $8,177

Payments by company in 2024
Inari MedicalCt Thrombectomy System Kit$7,682
10 payments
  • Meals for Flowtriever Catheter, S · 2024-09-04 · $129
  • Meals for Flowtriever Catheter, S · 2024-06-27 · $193
  • Paid to speak or teach for Ct Thrombectomy System Kit · 2024-06-27 · $1,000
  • Paid to speak or teach for Ct Thrombectomy System Kit · 2024-06-27 · $5,250
  • Meals for Flowtriever Catheter, S · 2024-06-26 · $29
  • Meals for Flowtriever Catheter, S · 2024-06-21 · $42
  • Travel for Ct Thrombectomy System Kit · 2024-05-16 · $257
  • Travel for Ct Thrombectomy System Kit · 2024-05-16 · $670
  • Travel for Ct Thrombectomy System Kit · 2024-05-16 · $20
  • Meals for Flowtriever Catheter, S · 2024-02-22 · $92
AbiomedImpella$256
2 payments
  • Meals for Impella · 2024-09-27 · $145
  • Meals for Impella · 2024-04-25 · $111
MedtronicValiant Captivia$104
1 payment
  • Meals for Valiant Captivia · 2024-03-01 · $104
Boehringer Ingelheim PharmaceuticalsNone$96
1 payment
  • Meals · 2024-07-31 · $96
Mylan Specialty L.P.Yupelri$39
2 payments
  • Meals for Yupelri · 2024-09-14 · $20
  • Meals for Yupelri · 2024-05-14 · $19

2023: $3,101

Payments by company in 2023
Inari MedicalCt Thrombectomy System Kit$2,650
8 payments
  • Meals for Flowtriever Catheter, S · 2023-12-12 · $83
  • Meals for Flowtriever Catheter, S · 2023-09-12 · $111
  • Meals for Flowtriever Catheter, S · 2023-05-05 · $80
  • Meals for Flowtriever Catheter, S · 2023-03-21 · $23
  • Meals for Flowtriever Catheter, S · 2023-03-07 · $84
  • Meals for Flowtriever Catheter, S · 2023-03-01 · $220
  • Honoraria for Ct Thrombectomy System Kit · 2023-03-01 · $1,750
  • Honoraria for Ct Thrombectomy System Kit · 2023-03-01 · $300
AbiomedImpella$145
1 payment
  • Meals for Impella · 2023-05-05 · $145
Novo NordiskNone$125
1 payment
  • Meals · 2023-05-24 · $125
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Lifevest$91
1 payment
  • Meals for Lifevest · 2023-12-13 · $91
Intuitive SurgicalDa Vinci Surgical System$90
1 payment
  • Meals for Da Vinci Surgical System · 2023-08-08 · $90

2022: $323

Payments by company in 2022
Inari MedicalFlowtriever Catheter, S$285
2 payments
  • Meals for Flowtriever Catheter, S · 2022-11-09 · $135
  • Meals for Flowtriever Catheter, S · 2022-07-28 · $149
AbiomedImpella$38
1 payment
  • Meals for Impella · 2022-11-17 · $38

2020: $143

Payments by company in 2020
AbiomedImpella$143
1 payment
  • Meals for Impella · 2020-01-23 · $143

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
72.7 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1588970024
Licence
CA A123662California A123662: Current · expires 2028-09-30
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
ME 1588970024, NH 3086001
Taxonomy
Federal specialty code 207RC0200X (207RC0200X); Hospitalist (208M00000X)
Mailing address
1303 E Herndon Ave Ste 850, Fresno, CA, 93720
NPI first listed
2010-08-22
NPI last updated
2024-04-09
NPI record certified
2024-04-09

This is when the NPI record was last certified, not a medical board exam.