DR. KIRAN MUDAMBI MD
NPI 1942649561
Pediatrics - Pediatric Gastroenterology in Sacramento, CA
About Dr. Kiran Mudambi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIRAN MUDAMBI MD (NPI 1942649561) is an individual pediatric gastroenterology provider in Sacramento, California, licensed in Washington (MD60913136) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Dr. Kiran Mudambi Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Kiran Mudambi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Olympia, WA 98512
- Reassigned Medicare billing, Washington enrollment
- 4,383 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
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 Kiran Mudambi's NPI number?
The NPI number for Kiran Mudambi is 1942649561. It was assigned to this individual provider in the NPPES registry on June 17, 2013.
Where is Kiran Mudambi located?
Kiran Mudambi practices at 2516 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (650) 267-0562.
What is Kiran Mudambi's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is Kiran Mudambi enrolled in Medicare?
Yes. Kiran Mudambi 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 Kiran Mudambi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kiran Mudambi reassigns Medicare benefits to Multicare Health System (Olympia, WA). 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 Kiran Mudambi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kiran Mudambi accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kiran Mudambi 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.
When was this NPI record last updated?
The NPPES record for Kiran Mudambi was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Kiran Mudambi, MD · NPI 1942649561
Pediatric Gastroenterology physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since June 17, 2013.
## Identity
- **NPI:** 1942649561 (Entity type: Individual)
- **Enumerated:** June 17, 2013
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** MD60913136 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2516 STOCKTON BLVD, Sacramento, CA 95817-2208
- **Phone:** (650) 267-0562
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Multicare Health System (NPI 1831609775, Olympia, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 5, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1942649561) · Data from the CMS NPPES public registry.