KISHORE K. KALLURI (M.D.) – Nephrology Physician, NPI 1073517751

KISHORE K. KALLURI (M.D.) is a healthcare provider. based in Modesto, California. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 036103114 (IL). The NPI Number for KISHORE K. KALLURI (M.D.) is 1073517751

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KISHORE K. KALLURI (M.D.)
NPI
1073517751
Phone
(209) 524-1211
Address
600 COFFEE RD
Enumeration Date
9 June 2005
Last Update Date
10 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2095264500
Graduation Year
1990 (36 years ago)
PAC ID
3476574732
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20081216000355
Address ID
CA953552803MO1700XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:21State licenses:2Digital endpointsOther names

1,404 NEPHROLOGY in CA

Loading map...

Provider Addresses for KISHORE K. KALLURI (M.D.)

  • 600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States

    MODESTO, CA 953554201

    Phone: (209) 524-1211

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081216000355INephrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units1,52011$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes855249$0
90962Dialysis services, 1 physician visit per month (20 years or older)54292$0
99213Established patient office or other outpatient visit, 20-29 minutes372207$0
90935Hemodialysis procedure with physician evaluation17966$0
View full utilization report →

Insurance plans in this area (ZIP 95355)

Loading plans...

Provider's Procedures

KISHORE K. KALLURI (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYCA90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older44098
NEPHROLOGYCA90966Home dialysis services per month, patient 20 years of age or older10612

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830094515View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Internal MedicineCA
-CA
Family PracticeCA
-CA
-CA
Allergy/Immunology, RheumatologyCA
Physician AssistantCA
Physician AssistantCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for KISHORE K. KALLURI (M.D.)?
The registry entry for KISHORE K. KALLURI (M.D.) shows NPI 1073517751.
Is KISHORE K. KALLURI (M.D.)'s NPI status active today?
Active status means KISHORE K. KALLURI (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret KISHORE K. KALLURI (M.D.)'s specialty?
The extract shows Nephrology Physician for KISHORE K. KALLURI (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to KISHORE K. KALLURI (M.D.)?
KISHORE K. KALLURI (M.D.) shows a connection to Modesto, California in registry-derived data.
Why is information missing for KISHORE K. KALLURI (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

KRIENGSAK ITSARA (MD)

Nephrology Physician
East Granger Avenue, Modesto, Stanislaus County, California, 95350, United States
NPI: 1558363739

Itsara and Liu MD's

Nephrology Physician
East Granger Avenue, Modesto, Stanislaus County, California, 95350, United States
NPI: 1306848569

CHANG S JOO (MD)

Nephrology Physician
305, East Granger Avenue, Modesto, Stanislaus County, California, 95350, United States
NPI: 1508868787

KENNETH K LIU (MD)

Nephrology Physician
305, East Granger Avenue, Modesto, Stanislaus County, California, 95350, United States
NPI: 1326042391

JOSEPHINE R BAISAC (M.D.)

Nephrology Physician
608, East Orangeburg Avenue, Modesto, Stanislaus County, California, 95350, United States
NPI: 1548223480

JOSE M. R. SANTOS (M.D.)

Nephrology Physician
608, East Orangeburg Avenue, Modesto, Stanislaus County, California, 95350, United States
NPI: 1073577573

MARK T FAHLEN (MD)

Nephrology Physician
1400, Florida Avenue, Aurora, Modesto, Stanislaus County, California, 95350, United States
NPI: 1679539415

STEPHEN N TURITZIN (MD)

Nephrology Physician
600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
NPI: 1821047382

SUTTER GOULD MEDICAL FOUNDATION

Family Medicine Physician
600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
NPI: 1023065133