Kishore Kumar Gaddam, M.D
NPI 1093069411ActiveIndividual· Pediatrics· Modesto, CA
Pediatrics (M.D) in Modesto, California, licensed in CA and DE, with an NPI issued in November 2012. Enrolled in Medicare as practitioner - pediatric medicine and practitioner - pediatric medicine. Pfizer Inc. reported $17.15 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1093069411 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | Yes |
| NPI issued | Nov 7, 2012 |
| Last updated in NPPES | Jul 1, 2025 |
| Certified by provider | Jul 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | C201309 | CA |
| Pediatrics | 208000000X | C10025067 | DE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (CA); Practitioner - Pediatric Medicine (TX) |
|---|
Industry payments (Open Payments)
- 2024$17.15 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $17.15 | 1 |
What the 2024 payments were for
- Food and Beverage$17.15 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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