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SUDHA MOOLA MD
NPI 1063628386
Obstetrics & Gynecology in Riverside, CA

Active since May 15, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2005844 · Waiver
3975 JACKSON ST, SUITE #208, RIVERSIDE, CA 92503(951) 732-7834(951) 352-7758 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sudha Moola Md NPPES

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

SUDHA MOOLA MD (NPI 1063628386) is an individual obstetrics & gynecology provider in Riverside, California, licensed in California (A101361) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 6, 2028, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1063628386
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSUDHA MOOLACredential: MD
Location Address3975 JACKSON ST, SUITE #208Riverside, CA 92503-3901
Mailing Address1240 Las Ventanas WayRiverside, CA 92508-8722 · (951) 732-7834
Phone(951) 732-7834
Fax(951) 352-7758
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateMay 15, 2007
Last NPPES UpdateNovember 22, 2011
✔ NPI 1063628386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A101361
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3975 JACKSON ST, Riverside, CA 92503
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sudha Moola Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446307474
PECOS Enrollment IDI20090409000157
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 05D2005844

Sudha Moola, MD Inc. · Riverside, CA
Active · expires Apr 6, 2028
CLIA Number05D2005844
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorSudha Moola MD
Laboratory Phone(951) 732-7834
Laboratory LocationSudha Moola, MD Inc.3975 Jackson Street, Ste 208, Riverside, CA 92503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services18 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
19 services19 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INLAND EAR, HEAD & NECK CLINIC
Otolaryngology
3975 JACKSON ST, STE. 202
RIVERSIDE, CA 92503
Riverside County (951) 352-7920
DR. NAYEEMA AHMED M.D.
Obstetrics & Gynecology (Obstetrics)
3975 JACKSON ST, STE. #110
RIVERSIDE, CA 92503
Riverside County (951) 351-1071
DR. FREDDIE DIAL M.D., FACE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3975 JACKSON ST, STE. 200
RIVERSIDE, CA 92503
Riverside County (951) 353-2769
JOHN L COON MD INC
Specialist
3975 JACKSON ST, SUITE 201
RIVERSIDE, CA 92503
Riverside County (951) 687-9400
HEALING TREE WELLNESS CENTER INC
Acupuncturist
3975 JACKSON ST, SUITE 2069
RIVERSIDE, CA 92503
Riverside County (949) 351-2377
MRS. MANJU KAUR CPNP
Nurse Practitioner (Pediatrics)
3975 JACKSON ST
RIVERSIDE, CA 92503
Riverside County (951) 352-2092
DR. PETER Y CHANG MD
Student in an Organized Health Care Education/Training Program
3975 JACKSON ST, SUITE 102
RIVERSIDE, CA 92503
Riverside County (951) 359-0660
THE CHILDREN'S DOCTOR PROFESSIONAL CORPORATION
Pediatrics
3975 JACKSON ST, SUITE 207
RIVERSIDE, CA 92503
Riverside County (951) 352-2092

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 Sudha Moola's NPI number?

The NPI number for Sudha Moola is 1063628386. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Sudha Moola located?

Sudha Moola practices at 3975 Jackson St Suite #208, Riverside, CA 92503. The listed phone number is (951) 732-7834.

What is Sudha Moola's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sudha Moola enrolled in Medicare?

Yes. Sudha Moola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Sudha Moola hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2005844) is associated with this NPI, valid through April 6, 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 Sudha Moola was last updated on November 22, 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.