Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISHNA THEJA KUDARAVALLI MD
NPI 1801470596
Anesthesiology - Pain Medicine in Oakland, CA

Q: What is Krishna Kudaravalli's NPI number?

The NPI number for Krishna Kudaravalli is 1801470596. It was assigned to this individual provider in the NPPES registry on May 8, 2021.

Q: What is Krishna Kudaravalli's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since May 08, 2021PECOS Enrolled

1411 E 31ST ST, OAKLAND, CA 94602(510) 437-4800 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2026, May 8, 2021 (2 updates tracked since 2021).

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About Krishna Theja Kudaravalli Md NPPES

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

KRISHNA THEJA KUDARAVALLI MD (NPI 1801470596) is an individual pain medicine provider in Oakland, California, licensed in California (A201352) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801470596

Entity TypeIndividualMale

Primary Taxonomy207LP2900X

Provider Legal NameKRISHNA THEJA KUDARAVALLICredential: MD

Location Address1411 E 31ST STOakland, CA 94602-1018

Mailing Address1411 E 31st StOakland, CA 94602-1018 · (510) 437-4800

Phone(510) 437-4800

Sole ProprietorNo

Enumeration DateMay 8, 2021

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1801470596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in CA · A201352

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1411 E 31ST ST, Oakland, CA 94602

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krishna Theja Kudaravalli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MS. YVONNE DIANE ESCARSEGA MSW

Social Worker (Clinical)

1411 E 31ST ST
OAKLAND, CA 94602

Alameda County (510) 437-4373

MR. JUAN CASILLAS JR. NP

Nurse Practitioner (Family)

1411 E 31ST ST
OAKLAND, CA 94602

Alameda County (510) 437-4800

SADHANA SAMANT MD

Obstetrics & Gynecology

1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602

Alameda County (510) 437-4323

PATRICIA SCOTT MEYER PA

Clinical Nurse Specialist (Emergency)

1411 E 31ST ST
OAKLAND, CA 94602

Alameda County (209) 342-2300

NATHALIE BALOGUN MSW MPH

Social Worker (Clinical)

1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602

Alameda County (510) 437-4949

CYNTHIA MARIE ROWDEN RN

Registered Nurse (Ambulatory Care)

1411 E 31ST ST
OAKLAND, CA 94602

Alameda County (510) 437-4373

DR. KAYLA ENRIQUEZ MD

Emergency Medicine

1411 E 31ST ST
OAKLAND, CA 94602

Alameda County (510) 437-4564

DR. CHERYL LIN PARK M.D.

Surgery

1411 E 31ST ST
OAKLAND, CA 94602

Alameda County (510) 437-4743

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 Kudaravalli's NPI number?

The NPI number for Krishna Kudaravalli is 1801470596. It was assigned to this individual provider in the NPPES registry on May 8, 2021.

Where is Krishna Kudaravalli located?

Krishna Kudaravalli practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 437-4800.

What is Krishna Kudaravalli's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Krishna Kudaravalli enrolled in Medicare?

Yes. Krishna Kudaravalli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Krishna Kudaravalli was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.