Kishore Gaddam, M.D
NPI 1093069411 · Pediatrics Physician · Modesto, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kishore Gaddam, M.D is a Pediatrics Physician provider in Modesto, CA (NPI 1093069411).
Provider details
- NPI number
- 1093069411
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- C10025067 (DE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
13 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$17 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-11-07
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Frequently asked questions
- What is Kishore Gaddam's NPI number?
- Kishore Gaddam's National Provider Identifier (NPI) is 1093069411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kishore Gaddam's specialty?
- Kishore Gaddam is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kishore Gaddam located?
- Kishore Gaddam's practice location on file with NPPES is 1510 Florida Ave, Modesto, CA 95350-4437.
- What is Kishore Gaddam's phone number?
- The practice phone number listed in the NPPES registry for Kishore Gaddam is (209) 722-4842.
- Does Kishore Gaddam accept Medicare?
- Kishore Gaddam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kishore Gaddam's NPI active?
- Yes — Kishore Gaddam's NPI (1093069411) is active in the NPPES registry as of the last update on 2025-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.