Doctor profile · Federal record

Dr. Adela Ayala, RN, NP

Nurse Practitioner · Nephrology Physician · Fresno, CA

  • NPI 1235116138
  • Accepts Medicare
  • 32 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
568 E Herndon Ave Ste 201
Fresno, CA 937202989
(559) 228-6600
fax (559) 226-3709

Credentials & registration

NPPES · NUCC
NPI registered
December 2005 — 21 yrs on file
Profile last updated
April 11, 2022
Year of graduation
1994 — 32 yrs since
Specialty taxonomy
363L00000X — NUCC code
State license (1)
California #7335

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1235116138. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
242
Distinct HCPCS
3
Medicare allowed
$60,791
HCPCS Description Services Patients Avg allowed
90961 Dialysis services, 2-3 physician visits per month (20 years or older) 145 98 $251
90960 Dialysis services, 4 or more physician visits per month (20 years or older) 59 45 $302
90962 Dialysis services, 1 physician visit per month (20 years or older) 38 32 $173

In context: peer comparison

Among 29 peers in this city , average services per provider: 142. This provider delivers 1.7× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$2,213
Transactions
25
Manufacturers
15
Payer (manufacturer) Industry Txns Amount
Amgen Inc. 8 $524.59
Novo Nordisk Inc 2 $244.99
Ardelyx, Inc. 2 $224.63
Ipsen Biopharmaceuticals, Inc 1 $146.20
Fresenius Kabi USA, LLC 1 $125.00
Phathom Pharmaceuticals, Inc. 1 $125.00
SANOFI-AVENTIS U.S. LLC 1 $125.00
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) 1 $124.99
Abbott Laboratories 1 $124.98
IRONWOOD PHARMACEUTICALS, INC 1 $122.70
Fresenius USA Marketing, Inc. 1 $111.81
Corcept Therapeutics 1 $104.73
GlaxoSmithKline, LLC. 2 $44.25
Aurinia Pharma U.S., Inc. 1 $24.78
Mallinckrodt Hospital Products Inc. 1 $21.19

By nature of payment

Food and Beverage
$2,213

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
642
Patients
59
Total drug cost
$157,531
Drug Type Claims Patients Total cost
Prosol (Parenteral Amino Acid 20% No.1) Brand 463 24 $69,325
Sevelamer Carbonate Generic 64 22 $25,018
Clinisol (Parenteral Amino Acid 15% No.5) Brand 60 0 $9,493
Calcium Acetate Generic 39 13 $2,197
Velphoro (Sucroferric Oxyhydroxide) Brand 16 0 $51,497

Frequently asked questions

Auto-generated from federal data
What is Dr. Adela Ayala's medical specialty?
Dr. Adela Ayala practices Nurse Practitioner in Fresno, CA.
Where does Dr. Adela Ayala practice?
Dr. Adela Ayala practices at 568 E Herndon Ave Ste 201, Fresno, CA 937202989. Office phone: 5592286600.
What is Dr. Adela Ayala's NPI?
Dr. Adela Ayala's National Provider Identifier (NPI) is 1235116138, issued by NPPES.
Does Dr. Adela Ayala accept Medicare assignment?
Yes. Dr. Adela Ayala accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Adela Ayala commonly perform?
Top Medicare-reported procedures in 2023: Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS 90961); Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS 90960); Dialysis services, 1 physician visit per month (20 years or older) (HCPCS 90962). Source: CMS Medicare Physician & Other Practitioners file.