SREENIVASA R. NAKKA, INC
NPI 1003184979
Internal Medicine - Gastroenterology in Hemet, CA

Active since December 07, 2011CLIA 05D0944892 · Waiver
949 CALHOUN PL, STE A, HEMET, CA 92543(951) 929-1177(951) 765-9111 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sreenivasa R. Nakka, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SREENIVASA R. NAKKA, INC (NPI 1003184979) is a healthcare organization registered as a gastroenterology in Hemet, California and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Sreenivasa R Nakka, President, as its authorized official.

NPPES Registry Identity

NPI1003184979
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSREENIVASA R. NAKKA, INC
Location Address949 CALHOUN PL, STE AHemet, CA 92543-4403
Mailing Address949 Calhoun Pl, Ste AHemet, CA 92543-4403 · (951) 929-1177 · Fax (951) 765-9111
Fax(951) 765-9111
Organization SubpartNo
Authorized OfficialSreenivasa R NakkaPresident · (951) 929-1177
Enumeration DateDecember 7, 2011
✔ NPI 1003184979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
949 CALHOUN PL, Hemet, CA 92543

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sreenivasa R. Nakka, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120104000640Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sreenivasa R. Nakka, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Gastroenterology
NPI 1184666547
949 CALHOUN PL SUITE A
Hemet, CA 92543
(951) 929-1177
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1821296591
2006 N RIVERSIDE AVE STE A
Rialto, CA 92377
(909) 883-2999
✔ PECOS✔ Accepts Medicare36 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0944892

Sreenivasa R Nakka, MD PC · Hemet, CA
Active · expires Apr 21, 2028
CLIA Number05D0944892
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorSreenivasa R. Nakka MD
Laboratory Phone(909) 929-1177
Laboratory LocationSreenivasa R Nakka, MD PC949 Calhoun Place Suite A, Hemet, CA 92543
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Sreenivasa R. Nakka, Inc's NPI number?

The NPI number for Sreenivasa R. Nakka, Inc is 1003184979. It was assigned to this organization in the NPPES registry on December 7, 2011.

Where is Sreenivasa R. Nakka, Inc located?

Sreenivasa R. Nakka, Inc is located at 949 Calhoun Pl Ste A, Hemet, CA 92543. The listed phone number is (951) 929-1177.

What is Sreenivasa R. Nakka, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sreenivasa R. Nakka, Inc enrolled in Medicare?

Yes. Sreenivasa R. Nakka, Inc is registered in the Medicare PECOS enrollment system.

When is Sreenivasa R. Nakka, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Sreenivasa R. Nakka, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sreenivasa R. Nakka, Inc, in Gastroenterology and Internal Medicine. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sreenivasa R. Nakka, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0944892) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sreenivasa R. Nakka, Inc was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.