MALA KOKILA KRISHNAMOORTHY
NPI 1194145920
Internal Medicine - Geriatric Medicine in Oakland, CA

Q: What is Mala Krishnamoorthy's NPI number?

The NPI number for Mala Krishnamoorthy is 1194145920. It was assigned to this individual provider in the NPPES registry on April 19, 2014.

Q: What is Mala Krishnamoorthy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since April 19, 2014PECOS EnrolledAccepts Medicare Assignment

280 W MACARTHUR BLVD, OAKLAND, CA 94611(774) 232-1549 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2022, Nov 1, 2018 (2 updates tracked since 2018).

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About Mala Kokila Krishnamoorthy NPPES

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

MALA KOKILA KRISHNAMOORTHY (NPI 1194145920) is an individual geriatric medicine provider in Oakland, California, licensed in California (140784) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2014).

NPPES Registry Identity

NPI1194145920

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameMALA KOKILA KRISHNAMOORTHY

Location Address280 W MACARTHUR BLVDOakland, CA 94611-5642

Mailing Address2500 Merced StSan Leandro, CA 94577-4201 · (510) 914-7874

Phone(774) 232-1549

Sole ProprietorYes

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2014

Enumeration DateApril 19, 2014

Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration

✔ NPI 1194145920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in CA · 140784

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

280 W MACARTHUR BLVD, Oakland, CA 94611

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mala Kokila Krishnamoorthy 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 ID8820383656

PECOS Enrollment IDI20181206003479

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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 20

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

JESSICA CHANG PHARM.D., APH

Pharmacist