Modesto Kidney Medical Group
NPI 1306848569 · Nephrology Physician · Modesto, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modesto Kidney Medical Group is a Nephrology Physician organization in Modesto, CA (NPI 1306848569).
Provider details
- NPI number
- 1306848569
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Meischke, Billing Manager(541) 706-9073
- License
- 01031187 02 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Itsara and Liu Md'S
Registry dates
- Enumerated
- 2005-06-01
- Last updated
- 2013-03-29
Frequently asked questions
- What is Modesto Kidney Medical Group's NPI number?
- Modesto Kidney Medical Group's National Provider Identifier (NPI) is 1306848569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modesto Kidney Medical Group?
- Modesto Kidney Medical Group is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Modesto Kidney Medical Group located?
- Modesto Kidney Medical Group's practice location on file with NPPES is 305 E Granger Ave, Modesto, CA 95350-4344.
- What is Modesto Kidney Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Modesto Kidney Medical Group is (209) 526-1606.
- Does Modesto Kidney Medical Group accept Medicare?
- Modesto Kidney Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modesto Kidney Medical Group?
- The authorized official listed on Modesto Kidney Medical Group's NPPES record is Lori Meischke, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modesto Kidney Medical Group's NPI active?
- Yes — Modesto Kidney Medical Group's NPI (1306848569) is active in the NPPES registry as of the last update on 2013-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.