1. Home
  2. Directory
  3. California
  4. Modesto
  5. Internal Medicine
  6. NPI Profile

MODESTO KIDNEY MEDICAL GROUP
NPI 1306848569
Internal Medicine - Nephrology in Modesto, CA

Active since June 01, 2005CLIA 05D0610308 · Microscopy
305 E GRANGER AVE, STE 202, MODESTO, CA 95350(209) 526-1606(209) 526-1677 Get Directions Write a Review

NPPES record last updated: March 29, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Modesto Kidney Medical Group NPPES

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

MODESTO KIDNEY MEDICAL GROUP (NPI 1306848569), doing business as Itsara And Liu Md's, is a healthcare organization registered as a nephrology in Modesto, California and active in the NPI registry since June 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Lori D Meischke, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1306848569
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMODESTO KIDNEY MEDICAL GROUP
Location Address305 E GRANGER AVE, STE 202Modesto, CA 95350-4344
Mailing Address305 E Granger Ave, Suite 202Modesto, CA 95350-4345 · (209) 526-1606 · Fax (209) 526-1677
Phone(209) 526-1606
Fax(209) 526-1677
Organization SubpartNo
Authorized OfficialLori D MeischkeBilling Manager · (541) 706-9073
Enumeration DateJune 1, 2005
Last NPPES UpdateMarch 29, 2013
✔ NPI 1306848569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · 01031187 02
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
305 E GRANGER AVE, Modesto, CA 95350
Open in Google Maps ↗

Other Names 1

Former Legal Business NameItsara And Liu Md's

Other Identifiers 2

Medicare PINYYY49963YCA
MedicaidGR0026660CA

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)

Modesto Kidney Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Modesto Kidney Medical Group, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Yuqiang Ge, M.D., PHD
Nephrology
NPI 1740588680
305 E GRANGER AVE, STE 202
Modesto, CA 95350
(209) 526-1606
✔ PECOS✔ Accepts MedicareSame address
Kenneth Liu, MD
Nephrology
NPI 1326042391
305 E GRANGER AVE STE 202
Modesto, CA 95350
(209) 526-1606
✔ PECOSSame address
Chang Joo, MD
Nephrology
NPI 1508868787
305 E GRANGER AVE STE 202
Modesto, CA 95350
(209) 526-1606
✔ PECOS✔ Accepts MedicareSame address
Tong Sun, MD
Nephrology
NPI 1629161336
305 E GRANGER AVE STE 202
Modesto, CA 95350
(209) 526-1606
✔ PECOS✔ Accepts MedicareSame address
Han-Cheng Chen
Nephrology
NPI 1912387796
1001 POTRERO AVENUE BLDG 90 2ND FLOOR
San Francisco, CA 94110
(628) 206-4777
✔ PECOS✔ Accepts Medicare77 mi
Sithu Lin, M.D.
Nephrology
NPI 1023417649
11100 WARNER AVE STE 218
Fountain Valley, CA 92708
(714) 641-9696
✔ PECOS✔ Accepts Medicare322 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 for Provider-Performed Microscopy Procedures (PPMP) 05D0610308

Modesto Kidney Medical Group · Modesto, CA
Active · expires Aug 31, 2028
CLIA Number05D0610308
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorChang Joo
Laboratory Phone(209) 526-1606
Laboratory LocationModesto Kidney Medical Group305 E Granger Avenue, Suite 202, Modesto, CA 95350
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Modesto Kidney Medical Group's NPI number?

The NPI number for Modesto Kidney Medical Group is 1306848569. It was assigned to this organization in the NPPES registry on June 1, 2005. The provider was formerly known as Itsara And Liu Md's.

Where is Modesto Kidney Medical Group located?

Modesto Kidney Medical Group is located at 305 E Granger Ave Ste 202, Modesto, CA 95350. The listed phone number is (209) 526-1606.

What is Modesto Kidney Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Modesto Kidney Medical Group enrolled in Medicare?

Yes. Modesto Kidney Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modesto Kidney Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nephrology, reassign their Medicare billing to Modesto Kidney Medical Group. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Modesto Kidney Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0610308) is associated with this NPI, valid through August 31, 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 Modesto Kidney Medical Group was last updated on March 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.