MONISHA KOSARAJU MD
NPI 1942712971
Student in an Organized Health Care Education/Training Program in Chino, CA

Q: What is Monisha Kosaraju's NPI number?

The NPI number for Monisha Kosaraju is 1942712971. It was assigned to this individual provider in the NPPES registry on October 31, 2017.

Q: What is Monisha Kosaraju's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Monisha Kosaraju was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 31, 2017PECOS Enrolled

5451 WALNUT AVE, CHINO, CA 91710(909) 464-8626 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 22, 2021, Jun 16, 2018, Oct 31, 2017 (3 updates tracked since 2017).

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About Monisha Kosaraju Md NPPES

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

MONISHA KOSARAJU MD (NPI 1942712971) is an individual student in an organized health care education/training program in Chino, California and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942712971

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMONISHA KOSARAJUCredential: MD

Location Address5451 WALNUT AVEChino, CA 91710-2609

Mailing Address5451 Walnut AveChino, CA 91710-2609

Phone(909) 464-8626

Sole ProprietorNo

Enumeration DateOctober 31, 2017

Last NPPES UpdateDecember 22, 20213 updates tracked since enumeration

✔ NPI 1942712971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5451 WALNUT AVE, Chino, CA 91710

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monisha Kosaraju 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.

Medicare Billing Reassignment

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

Permanente Medical Group Inc

333 mi

Internal Medicine

710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1073606299 (408) 851-1000

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.

DR. NEELAMMA VENKATASHAMAPPA

Student in an Organized Health Care Education/Training Program