Krishnamoorthi MD Inc a Professional Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KRISHNAMOORTHI MD INC A PROFESSIONAL MEDICAL CORPORATION

Practice address

2222 E Orangeburg Ave Ste A2
Modesto, CA 95355-3399

Phone

(209) 622-0877

Fax

(209) 622-0956

NPI assigned

Jan 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Krishnamoorthi Krishnamoorthi, M.D.NPI 1588762538

Title

Ceo

Phone

(209) 622-0877

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Krishnamoorthi MD Inc a Professional Medical Corporation

  • Rural Health Clinic/Center
  • Escalon, CA
  • NPI 1285785154

  O20070330000427

  Same enrollment
• Krishnamoorthi MD Inc a Professional Medical Corporation

  • Rural Health Clinic/Center
  • Waterford, CA
  • NPI 1316098205

  O20070330000427

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Krishnamoorthi MD Inc Apmc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Krishnamoorthi MD Inc a Professional Medical Corporation

  • Rural Health Clinic/Center
  • Waterford, CA
  • NPI 1316098205
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krishnamoorthi Krishnamoorthi, M.D.

  • Internal Medicine Physician
  • Waterford, CA
  • NPI 1588762538
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1528119435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E ORANGEBURG AVE STE A2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553399",
            "telephone_number": "209-622-0877",
            "fax_number": "209-622-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E ORANGEBURG AVE STE A2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553399",
            "telephone_number": "209-622-0877",
            "fax_number": "209-622-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNAMOORTHI MD INC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "KRISHNAMOORTHI",
        "authorized_official_first_name": "KRISHNAMOORTHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-622-0877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO676Z",
            "identifier": "PA20513",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric L. Kramer, O.D.
• Kristi Lee Kramer
• Morgan Kramer, ASW, MSW
• Serratia Krank
• James Aaron Kraus, MD
• Kruthika Krishnamurthy, MD
• Cameron Kroll
• James A Kruer Jr., MD
• Sergey Krupochkin, MD
• Taylor Kruse

• Primary Care Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.