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DR. KIRAN MUDAMBI MD
NPI 1942649561
Pediatrics - Pediatric Gastroenterology in Sacramento, CA

Active since June 17, 2013PECOS Enrolled
2516 STOCKTON BLVD, SACRAMENTO, CA 95817(650) 267-0562 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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.

NPPES Registry Identity

NPI1942649561
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. KIRAN MUDAMBICredential: MD
Location Address2516 STOCKTON BLVDSacramento, CA 95817-2208
Mailing Address1586 Response Road, Apt 2087Sacramento, CA 95815 · (650) 267-0562
Phone(650) 267-0562
Sole ProprietorNo
Enumeration DateJune 17, 2013
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1942649561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in WA · MD60913136
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2516 STOCKTON BLVD, Sacramento, CA 95817
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kiran Mudambi 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.

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.

New Patient
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 20

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

LENA CLAIRE VAN DER LIST D.O.
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2428
ALISON MY LAM M.D.
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3665
DR. ELIZABETH PARTRIDGE M.D.
Pediatrics (Pediatric Infectious Diseases)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (510) 428-4337
SAMANTHA ELISE ELLINWOOD AUMAN M.D.
Student in an Organized Health Care Education/Training Program
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2428
SARA BRUNDAGE DO
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3665
DR. JEANNY KIM PARK M.D.
Pediatrics (Pediatric Cardiology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3589
DR. DENNIS MICHAEL STYNE M.D.
Pediatrics (Pediatric Endocrinology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-0129
DR. ARUN RANJAN PANIGRAHI M.D.
Pediatrics (Pediatric Hematology-Oncology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2781

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 enrollment system.

What insurance does Kiran Mudambi accept?

Health plans from 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 6 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.