SRIKANTH KOLLI
NPI 1790229391
Chiropractor in Olivehurst, CA

Active since December 15, 2016Accepts Medicare Assignment
4941 OLIVEHURST AVE, OLIVEHURST, CA 95961(530) 743-4611 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 22, 2018, Dec 15, 2016 (2 updates tracked since 2016).

About Srikanth Kolli NPPES

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

SRIKANTH KOLLI (NPI 1790229391) is an individual chiropractor in Olivehurst, California, licensed in California (33448) and active in the NPI registry since December 2016. He maintains 2 additional practice locations and is a graduate of Other (2014).

NPPES Registry Identity

NPI1790229391
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSRIKANTH KOLLI
Location Address4941 OLIVEHURST AVEOlivehurst, CA 95961-4225
Mailing Address4941 Olivehurst AveOlivehurst, CA 95961-4225 · (530) 743-4611
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 15, 2016
Last NPPES UpdateMarch 22, 20182 updates tracked since enumeration
✔ NPI 1790229391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 33448
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4941 OLIVEHURST AVE, Olivehurst, CA 95961

Secondary Practice Locations 2

Location 11000 Sutter StYuba City, CA 95991-3459 · Phone (530) 673-9420
Location 2700 Bogue Rd Apt 138Yuba City, CA 95991-9240 · Phone (812) 322-1806

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

Srikanth Kolli 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 ID9739460403
PECOS Enrollment IDI20170111003574

Medicare Billing Reassignment

Medicare enrollment records show Srikanth Kolli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Federally Qualified Health Center (FQHC)
4941 OLIVEHURST AVE.
Olivehurst, CA 95961
  • Reassigned Medicare billing, California enrollment
  • 126 clinicians in this Medicare group

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

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.

Family Medicine
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Physician Assistant (Medical)
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Dentist (General Practice)
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Dentist
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Nurse Practitioner
4941 OLIVEHURST AVE, AMPLA HEALTH LINDHURST MEDICAL & DENTAL
OLIVEHURST, CA 95961
Internal Medicine
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Physician Assistant
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Nurse Practitioner
4941 OLIVEHURST AVE, STE 600
OLIVEHURST, CA 95961

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 Srikanth Kolli's NPI number?

The NPI number for Srikanth Kolli is 1790229391. It was assigned to this individual provider in the NPPES registry on December 15, 2016.

Where is Srikanth Kolli located?

Srikanth Kolli practices at 4941 Olivehurst Ave, Olivehurst, CA 95961. The listed phone number is (530) 743-4611.

What is Srikanth Kolli's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Srikanth Kolli enrolled in Medicare?

Yes. Srikanth Kolli 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 organization bills Medicare for Srikanth Kolli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Srikanth Kolli reassigns Medicare benefits to Ampla Health (Olivehurst, CA). The 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 Srikanth Kolli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Srikanth Kolli was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.