OM MEDICAL INC
NPI 1154766921
Internal Medicine in Modesto, CA

Active since May 07, 2013
730 17TH ST, MODESTO, CA 95354(209) 943-2000 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 27, 2025, Jul 8, 2019, Feb 1, 2019 (3 updates tracked since 2019).

About Om Medical Inc NPPES

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

OM MEDICAL INC (NPI 1154766921) is a healthcare organization registered as an internal medicine in Modesto, California and active in the NPI registry since May 2013. The organization lists Manjula Reddy, Director, as its authorized official.

NPPES Registry Identity

NPI1154766921
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOM MEDICAL INC
Location Address730 17TH STModesto, CA 95354-1209
Mailing AddressPo Box 1648Pleasanton, CA 94566-0164 · (925) 209-1632
Organization SubpartNo
Authorized OfficialManjula ReddyDirector · (925) 209-1632
Enumeration DateMay 7, 2013
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1154766921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A93135
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
730 17TH ST, Modesto, CA 95354

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Om Medical Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Om Medical Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1750306189
730 17TH ST
Modesto, CA 95354
(209) 602-5599
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1740588680
305 E GRANGER AVE, STE 202
Modesto, CA 95350
(209) 526-1606
✔ PECOS✔ Accepts Medicare1.7 mi

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

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 Om Medical Inc's NPI number?

The NPI number for Om Medical Inc is 1154766921. It was assigned to this organization in the NPPES registry on May 7, 2013.

Where is Om Medical Inc located?

Om Medical Inc is located at 730 17th St, Modesto, CA 95354. The listed phone number is (209) 943-2000.

What is Om Medical Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Om Medical Inc enrolled in Medicare?

Yes. Om Medical Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Om Medical Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Om Medical Inc, in Internal Medicine and Nephrology. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Om Medical Inc was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.