Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Kishore Kumar Gaddam, M.D

Pediatrics Physician in Modesto, CA · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093069411

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Registry record

Entity type Individual (Type 1)

Name Kishore Kumar Gaddam

Credential M.D

Sex Male

Practice address Modesto, CA, 95350

Phone (209) 722-4842

Enumeration date Nov 7, 2012

Last updated in NPPES Jul 1, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License C10025067 (DE) Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License C201309 (CA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kishore Gaddam practice?

The practice location on file with NPPES is in Modesto, CA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kishore Gaddam?

The National Provider Identifier (NPI) for Kishore Gaddam is 1093069411, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-01.