DR. KRISHNA SAGAR KASTURI (MD) – Gastroenterology Physician, NPI 1649474214

DR. KRISHNA SAGAR KASTURI (MD) is a healthcare provider. based in Clackamas, Oregon. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. MD60714868 (WA). The NPI Number for DR. KRISHNA SAGAR KASTURI (MD) is 1649474214

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISHNA SAGAR KASTURI (MD)
NPI
1649474214
Phone
(503) 652-2880
Address
10180 SE Sunnyside Rd
Enumeration Date
14 June 2007
Last Update Date
3 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008132000
Graduation Year
2003 (23 years ago)
PAC ID
0547422768
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20170124002041
Address ID
OR970158970CL10180RDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

252 GASTROENTEROLOGY in OR

Provider Addresses for DR. KRISHNA SAGAR KASTURI (MD)

  • 10180 SE Sunnyside Rd

    Clackamas, OR 970158970

    Phone: (503) 652-2880

    Type: Location

  • Spring Hill, Hernando County, Florida, United States

    BROOKSVILLE, FL 346085046

    Phone: (352) 277-0966

    Fax: (352) 282-3969

    Type: Location

  • 2875 NE STUCKI AVE

    HILLSBORO, OR 971245806

    Phone: (971) 310-1000

    Type: Location

  • 500 NE MULTNOMAH ST STE 100

    PORTLAND, OR 972322099

    Phone: (800) 813-2000

    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: 2017-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170124002041IGastroenterologyORTBD
I20170124002973IGastroenterologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97015)

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Provider's Procedures

DR. KRISHNA SAGAR KASTURI (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYFL45378Diagnostic examination of large bowel using an endoscope3736
GASTROENTEROLOGYFL45385Removal of polyps or growths of large bowel using an endoscope3030

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: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

Does DR. KRISHNA SAGAR KASTURI (MD) have a public NPI I can cite?
Public records show DR. KRISHNA SAGAR KASTURI (MD) under NPI 1649474214.
Does the public listing show DR. KRISHNA SAGAR KASTURI (MD) as active?
DR. KRISHNA SAGAR KASTURI (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. KRISHNA SAGAR KASTURI (MD)'s specialty?
The extract shows Gastroenterology Physician for DR. KRISHNA SAGAR KASTURI (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. KRISHNA SAGAR KASTURI (MD)?
The directory associates DR. KRISHNA SAGAR KASTURI (MD) with Clackamas, Oregon. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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