KRISHNAMOORTHI MD INC A PROFESSIONAL MEDICAL CORPORATION
NPI 1285785154
Clinic/Center - Rural Health in Escalon, CA

Active since January 16, 2007CLIA 05D0609869 · Waiver
850 CALIFORNIA ST, ESCALON, CA 95320(209) 838-2278 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Krishnamoorthi Md Inc A Professional Medical Corporation NPPES

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

KRISHNAMOORTHI MD INC A PROFESSIONAL MEDICAL CORPORATION (NPI 1285785154) is a healthcare organization registered as a rural health in Escalon, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Soma Krishnamoorthi, Cfo, as its authorized official.

NPPES Registry Identity

NPI1285785154
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameKRISHNAMOORTHI MD INC A PROFESSIONAL MEDICAL CORPORATION
Location Address850 CALIFORNIA STEscalon, CA 95320-1506
Mailing Address850 California StEscalon, CA 95320-1506 · (209) 838-2278
Organization SubpartNo
Authorized OfficialSoma KrishnamoorthiCfo · (209) 838-2278
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJanuary 2, 2026
NPPES CertifiedJanuary 2, 2026
✔ NPI 1285785154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
850 CALIFORNIA ST, Escalon, CA 95320

Other Identifiers 1

MedicaidRHM53830HCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krishnamoorthi Md Inc A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Krishnamoorthi MD Inc A Professional Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1013011055
850 W CALIFORNIA STREET
Escalon, CA 95320
(209) 838-2278
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1518143569
500 N 9TH ST STE B
Modesto, CA 95350
(209) 341-1824
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1588762538
324 F ST
Waterford, CA 95386
(209) 874-2321
✔ PECOS✔ Accepts Medicare16 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 05D0609869

Krishnamoorthi, MD Inc · Escalon, CA
Active · expires Mar 31, 2027
CLIA Number05D0609869
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorSoma Krishnamoorthi
Laboratory Phone(209) 838-2278
Laboratory LocationKrishnamoorthi, MD Inc850 West California Street, Escalon, CA 95320
CLIA data matches this NPI record on: Name Phone
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 Krishnamoorthi MD Inc A Professional Medical Corporation's NPI number?

The NPI number for Krishnamoorthi MD Inc A Professional Medical Corporation is 1285785154. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Krishnamoorthi MD Inc A Professional Medical Corporation located?

Krishnamoorthi MD Inc A Professional Medical Corporation is located at 850 California St, Escalon, CA 95320. The listed phone number is (209) 838-2278.

What is Krishnamoorthi MD Inc A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Krishnamoorthi MD Inc A Professional Medical Corporation enrolled in Medicare?

Yes. Krishnamoorthi MD Inc A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Krishnamoorthi MD Inc A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Krishnamoorthi MD Inc A Professional Medical Corporation, in Clinical Social Worker 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 Krishnamoorthi MD Inc A Professional Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0609869) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Krishnamoorthi MD Inc A Professional Medical Corporation was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.