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KRIEGH P MOULTON M.D.
NPI 1174605166
Internal Medicine - Clinical Cardiac Electrophysiology in Santa Rosa, CA

Active since October 19, 2006PECOS Enrolled
3536 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403(707) 573-6166(707) 573-6165 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2019, Apr 14, 2017 (2 updates tracked since 2017).

About Kriegh P Moulton M.d. NPPES

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

KRIEGH P MOULTON M.D. (NPI 1174605166) is an individual clinical cardiac electrophysiology provider in Santa Rosa, California, licensed in California (G159991) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174605166
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameKRIEGH P MOULTONCredential: M.D.
Location Address3536 MENDOCINO AVE STE 200Santa Rosa, CA 95403-3634
Mailing Address3536 Mendocino Ave Ste 200Santa Rosa, CA 95403-3634 · (707) 573-6166 · Fax (707) 573-6165
Phone(707) 573-6166
Fax(707) 573-6165
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateNovember 20, 20192 updates tracked since enumeration
✔ NPI 1174605166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License✔ Licensed in CA · G159991
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License G159991 (CA)
3536 MENDOCINO AVE STE 200, Santa Rosa, CA 95403
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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 (PECOS)

Kriegh P Moulton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
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 3

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

TONI M MCFADDEN CNP
Nurse Practitioner (Adult Health)
3536 MENDOCINO AVE STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 573-6166
ALI YASSEN M.D.
Internal Medicine (Interventional Cardiology)
3536 MENDOCINO AVE STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 573-6166
ROBERTA LEE M.D.
Surgery
3536 MENDOCINO AVE STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 573-6166

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 Kriegh Moulton's NPI number?

The NPI number for Kriegh Moulton is 1174605166. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Kriegh Moulton located?

Kriegh Moulton practices at 3536 Mendocino Ave Ste 200, Santa Rosa, CA 95403. The listed phone number is (707) 573-6166.

What is Kriegh Moulton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Kriegh Moulton enrolled in Medicare?

Yes. Kriegh Moulton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kriegh Moulton was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.