KRISHNAMOORTHI MD INC A PROFESSIONAL MEDICAL CORPORATION
NPI 1528119435
Clinic/Center - Primary Care in Modesto, CA
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 1528119435) is a healthcare organization registered as a primary care in Modesto, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Krishnamoorthi Krishnamoorthi, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
3Medicare 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, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 05D0989666
Krishnamoorthi, MD, Inc · Modesto, CAFrequently 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 1528119435. 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 2222 E Orangeburg Ave Ste A2, Modesto, CA 95355. The listed phone number is (209) 622-0877.
What is Krishnamoorthi MD Inc A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
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, 3 practice within 10 miles. 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 05D0989666) is associated with this NPI, valid through July 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 February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Krishnamoorthi Md Inc A Professional Medical Corporation · NPI 1528119435
Primary Care organization in Modesto, California. Organization record, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1528119435 (Entity type: Organization)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Krishnamoorthi Krishnamoorthi, CEO
## Practice location
- **Address:** 2222 E ORANGEBURG AVE STE A2, Modesto, CA 95355-3399
- **Phone:** (209) 622-0877 · **Fax:** (209) 622-0956
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Clinical Social Worker (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2026
- **Other identifiers:** Medicaid GR0104660 (CA); Other PA20513 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528119435) · Data from the CMS NPPES public registry.