Kishore K Kalluri, MD - Medicare Nephrology in Modesto, CA

Kishore K Kalluri, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Modesto, California. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Sutter Valley Medical Foundation and his current practice location is 600 Coffee Rd, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 524-1211.

Kishore K Kalluri is licensed to practice in California (license number C53094) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073517751.

Contact Information

Kishore K Kalluri, MD
600 Coffee Rd,
Modesto, CA 95355-4201
(209) 524-1211
Not Available

Map and Direction




Physician's Profile

Full NameKishore K Kalluri
GenderMale
SpecialityNephrology
Experience34 Years
Location600 Coffee Rd, Modesto, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kishore K Kalluri graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1073517751
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 09/10/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3476574732
  • Enrollment ID: I20081216000355

Medical Identifiers

Medical identifiers for Kishore K Kalluri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073517751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 036103114 (Illinois)Secondary
207RN0300XInternal Medicine - Nephrology C53094 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellbound Of ModestoModesto, CADialysis facility
Satellite Dialysis ModestoModesto, CADialysis facility
Satellite Dialysis Central ModestoModesto, CADialysis facility
Pacheco DialysisLos banos, CADialysis facility
Memorial Medical CenterModesto, CAHospital
Sutter Tracy Community HospitalTracy, CAHospital
Doctors Medical CenterModesto, CAHospital
Adventist Health SonoraSonora, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Valley Medical Foundation98300945151919

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kishore K Kalluri allows following entities to bill medicare on his behalf.
Entity NameSonora Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033100854
PECOS PAC ID: 4284538505
Enrollment ID: O20040316000829
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kishore K Kalluri is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kishore K Kalluri, MD
600 Coffee Rd,
Modesto, CA 95355-4201

Ph: (209) 524-1211
Kishore K Kalluri, MD
600 Coffee Rd,
Modesto, CA 95355-4201

Ph: (209) 524-1211

Reviews and Comments


Internal Medicine Doctors in Modesto, CA

Brian E. Dolnick, DO
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Alvin K Eng, MD
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Phone: 209-577-5557    Fax: 209-577-8125
Esra Olgun, MD
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Practice Location: 600 Coffee Rd, Modesto, CA 95355
Phone: 209-521-6097    
Ronak Chandrakant Shah, M.D.
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Practice Location: 600 Coffee Rd, Modesto, CA 95355
Phone: 209-521-6097    
Dr. Paul Golden, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1330 Nelson Ave, Suite C, Modesto, CA 95350
Phone: 209-576-1547    Fax: 209-576-2736

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.