Active NPI
Krishna K Moorthy, M.D.
- Cardiovascular Disease Physician
- Pittsburg, CA
National Provider Identifier
1811933724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A25695
- Practice address
- 2220 Gladstone Dr
Suite 3
Pittsburg, CA 94565-5123 - Phone
- (925) 432-3318
- Fax
- (925) 432-0886
- NPI assigned
- Jun 20, 2006
- Last updated
- Mar 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A25695 | CA | Primary |
Addresses
Primary practice location
2220 Gladstone Dr
Suite 3
Pittsburg, CA 94565-5123
Mailing address
2220 Gladstone Dr
Suite 3
Pittsburg, CA 94565-5123
Phone (925) 432-3318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BV276X | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A25695 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ananth Shenoy, M.D. Inc. | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1467699751
-
- Clinical Medical Laboratory
- Berkeley, CA
- NPI 1831381623
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1811933724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 GLADSTONE DR",
"address_2": "SUITE 3",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945655123",
"telephone_number": "925-432-3318",
"fax_number": "925-432-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 GLADSTONE DR",
"address_2": "SUITE 3",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945655123",
"telephone_number": "925-432-3318",
"fax_number": "925-432-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORTHY",
"first_name": "KRISHNA",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A25695",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "BV276X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.