TEJAL GAURANG PANDYA (MD) – Surgery Physician, NPI 1497011316
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
Provider Addresses for TEJAL GAURANG PANDYA (MD)
2625 E DIVISADERO ST
FRESNO, CA 937211431
Phone: (559) 443-2682
Type: Mailing
255 N HERWALDT DR
FRESNO, CA 937012186
Phone: (559) 459-7300
Type: Location
555 W PUTNAM AVE
PORTERVILLE, CA 932573286
Phone: (559) 782-8533
Fax: (559) 782-8544
Type: Mailing
7750 N Fresno St Ste 101
Fresno, CA 937202410
Phone: (559) 782-8533
Fax: (559) 782-8544
Type: Location
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
1101 MADISON ST
STE 900
SEATTLE, WA 981041347
Phone: (206) 215-6800
Fax: (206) 215-6801
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,568.
Total Amount is formed as General ($1,568) + Research ($0) + Ownership ($0) = $1,568.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Davol Inc. ($1,444).
Total Amount
$1,568
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,568
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $1,444 |
| Becton, Dickinson and Company | $124 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170726004152 | I | General Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 93721)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CA |
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