KRISHNAMRAJU KOSURU M.D
NPI 1013204296
Pediatrics in Joplin, MO
About Krishnamraju Kosuru M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISHNAMRAJU KOSURU M.D (NPI 1013204296) is an individual pediatrics provider in Joplin, Missouri, licensed in Missouri (2015040888) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Krishnamraju Kosuru M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Krishnamraju Kosuru reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Joplin, MO 64804
- Reassigned Medicare billing, Missouri enrollment
- 562 clinicians in this Medicare group
Page, AZ 86040
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Banner Hospital Based Physicians Arizona LLC
- 1,081 clinicians in this Medicare group
San Tan Valley, AZ 85140
- Reassigned Medicare billing, Arizona enrollment
- 188 clinicians in this Medicare group
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOPLIN, MO 64804
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Krishnamraju Kosuru's NPI number?
The NPI number for Krishnamraju Kosuru is 1013204296. It was assigned to this individual provider in the NPPES registry on July 7, 2011.
Where is Krishnamraju Kosuru located?
Krishnamraju Kosuru practices at 3126 S Jackson Ave Suite 100, Joplin, MO 64804. The listed phone number is (417) 556-3416.
What is Krishnamraju Kosuru's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Krishnamraju Kosuru enrolled in Medicare?
Yes. Krishnamraju Kosuru is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Krishnamraju Kosuru's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krishnamraju Kosuru reassigns Medicare benefits to 4 organizations: Mercy Clinic Joplin LLC (Joplin, MO), Banner Physician Specialists Arizona LLC (Page, AZ), Banner Physician Super Specialists Arizona LLC (San Tan Valley, AZ) and Banner Childrens Banner Health Clinic LLC (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krishnamraju Kosuru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krishnamraju Kosuru accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Krishnamraju Kosuru as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Krishnamraju Kosuru was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Krishnamraju Kosuru, M.D · NPI 1013204296
Pediatrics physician in Joplin, Missouri. Individual provider, active in the CMS NPPES registry since July 7, 2011.
## Identity
- **NPI:** 1013204296 (Entity type: Individual)
- **Enumerated:** July 7, 2011
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2015040888 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3126 S JACKSON AVE, SUITE 100, Joplin, MO 64804-2534
- **Phone:** (417) 556-3416 · **Fax:** (417) 556-3417
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Joplin LLC (NPI 1215264817, Joplin, MO); Banner Physician Specialists Arizona LLC (NPI 1366799355, Page, AZ); Banner Physician Super Specialists Arizona LLC (NPI 1396014403, San Tan Valley, AZ); Banner Childrens Banner Health Clinic LLC (NPI 1285278077, Phoenix, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2016
- **Other identifiers:** Medicare PIN MA2082524 (MO); Medicaid PENDING (KS); Medicaid 1013204296 (MO); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1013204296) · Data from the CMS NPPES public registry.