DR. MANJULA MUPPU (MD) – Family Medicine Physician, NPI 1104088582
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,190 FAMILY PRACTICE in CA
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Provider Addresses for DR. MANJULA MUPPU (MD)
San Ramon Regional Medical Center, 6001, Norris Canyon Road, Bishop Ranch Business Park, San Ramon, Contra Costa County, California, 94583, United States
SAN RAMON, CA 945835400
Phone: (209) 571-8330
Fax: (209) 491-7184
Type: Location
Jack in the Box, West Orangeburg Avenue, Modesto, Stanislaus County, California, 95350, United States
MODESTO, CA 953576649
Phone: (209) 571-8330
Fax: (209) 491-7184
Type: Mailing
76 FENTON ST
LIVERMORE, CA 945504144
Phone: (925) 443-1800
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2011-09-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110920000874 | I | Family Practice | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 2,945 | 221 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 248 | 119 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 233 | 85 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 189 | 155 | $0 |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 156 | 140 | $0 |
Insurance plans in this area (ZIP 94583)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CA | 11042 | Removal of skin and tissue first 20 sq cm or less | 74 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | CA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| Hospitalist, Internal Medicine | CA | |
| Internal Medicine | CA | |
| Hospitalist, Internal Medicine | CA | |
| - | CA | |
| Internal Medicine | WA |
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