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KRISHNA KIDAMBI
NPI 1740785906
Internal Medicine in San Angelo, TX

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
271 FORT RICHARDSON AVENUE, SAN ANGELO, TX 76908(654) 325-3117 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2024, Apr 22, 2020, Mar 28, 2018 (3 updates tracked since 2018).

About Krishna Kidambi NPPES

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

KRISHNA KIDAMBI (NPI 1740785906) is an individual internal medicine provider in San Angelo, Texas, licensed in Texas (S4649) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Riverview Hospital, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1740785906
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKRISHNA KIDAMBI
Location Address271 FORT RICHARDSON AVENUESan Angelo, TX 76908
Mailing Address1599 J StGrand Forks, ND 58205-6306
Phone(654) 325-3117
Sole ProprietorYes
Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2018
Enumeration DateMarch 28, 2018
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1740785906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · S4649
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 34.016747.MIL (OH), 21333 (ND)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
271 FORT RICHARDSON AVENUE, San Angelo, TX 76908
Open in Google Maps ↗

Secondary Practice Location 1

Location 13551 Roger Brooke DrSan Antonio, TX 78234 · Phone (813) 770-9826

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krishna Kidambi 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 ID9830529205
PECOS Enrollment IDI20241001003809
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Krishna Kidambi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Medical Center Fargo
1,010 mi
Rural Health
141 MAIN STREET
Ellendale, ND 58436
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
NPI 1346256682 (701) 349-3331
Healthsource Partners Nd LLC
1,061 mi
Emergency Medicine
900 E BROADWAY AVE
Bismarck, ND 58501
  • Reassigned Medicare billing, North Dakota enrollment
  • 40 clinicians in this Medicare group
NPI 1235619545 (701) 530-7000
Riverview Healthcare Association
1,132 mi
Rural Health
306 N MILL ST
Fertile, MN 56540
  • Reassigned Medicare billing, Minnesota enrollment
  • 69 clinicians in this Medicare group
NPI 1750671186 (218) 945-6695
Mercy Hospital Of Devils Lake
1,153 mi
Clinic/Center
425 COLLEGE DR S STE 14
Devils Lake, ND 58301
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1659343093 (North Dakota)
  • 102 clinicians in this Medicare group
NPI 1184117293 (701) 662-8662

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Hospital

Critical Access Hospitals · Crookston, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241320
Location323 South MinnesotaCrookston, MN 56716 · Polk County
Emergency services

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Chi St Alexius Health Devils Lake

Critical Access Hospitals · Devils Lake, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351333
Location1031 7th St NEDevils Lake, ND 58301 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76908 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 4

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

DR. GEORGE E JONES JR. PHARMD
Pharmacist
271 FORT RICHARDSON AVENUE
SAN ANGELO, TX 76908
Tom Green County (325) 654-3074
WILLIAM C SHELBY PA-C
Physician Assistant
271 FORT RICHARDSON AVENUE
GOODFELLOW AFB, TX 76908
Tom Green County (325) 654-3238
MELANIE NOBLE PH.D.
Psychologist (Clinical)
271 FORT RICHARDSON AVENUE, BLDG. 1007
GOODFELLOW AFB, TX 76908
Tom Green County (325) 654-3122
DR. ANDREA SHEFFERLY PT, DPT, CSCS
Physical Therapist (Orthopedic)
271 FORT RICHARDSON AVENUE
GOODFELLOW AIR FORCE BASE, TX 76908
Tom Green County (354) 654-3632

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 Krishna Kidambi's NPI number?

The NPI number for Krishna Kidambi is 1740785906. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Krishna Kidambi located?

Krishna Kidambi practices at 271 Fort Richardson Avenue, San Angelo, TX 76908. The listed phone number is (654) 325-3117.

What is Krishna Kidambi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Krishna Kidambi enrolled in Medicare?

Yes. Krishna Kidambi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Krishna Kidambi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krishna Kidambi reassigns Medicare benefits to 4 organizations: Sanford Medical Center Fargo (Ellendale, ND), Healthsource Partners Nd LLC (Bismarck, ND), Riverview Healthcare Association (Fertile, MN) and Mercy Hospital Of Devils Lake (Devils Lake, ND). Each 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 Krishna Kidambi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krishna Kidambi accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Krishna Kidambi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Krishna Kidambi affiliated with any hospitals?

According to CMS data, Krishna Kidambi is affiliated with Riverview Hospital, Chi St Alexius Health, Sanford Medical Center Fargo and Chi St Alexius Health Devils Lake.

When was this NPI record last updated?

The NPPES record for Krishna Kidambi was last updated on February 17, 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.