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RAMAN KUMAR M.D.
NPI 1386866853
Surgery in Alton, IL

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
2 SAINT ANTHONYS WAY STE 305, ALTON, IL 62002(618) 465-9024(618) 462-6828 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 26, 2022, Aug 21, 2017 (2 updates tracked since 2017).

About Raman Kumar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAMAN KUMAR M.D. (NPI 1386866853) is an individual surgery provider in Alton, Illinois, licensed in Illinois (036.148925) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Anthony's Health Center, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1386866853
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRAMAN KUMARCredential: M.D.
Location Address2 SAINT ANTHONYS WAY STE 305Alton, IL 62002-4569
Mailing Address2 Saint Anthonys Way Ste 305Alton, IL 62002-4569 · (618) 465-9024 · Fax (618) 462-6828
Phone(618) 465-9024
Fax(618) 462-6828
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 2005
Enumeration DateMay 3, 2007
Last NPPES UpdateSeptember 26, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1386866853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IL · 036.148925✔ Licensed in VA · 0101250146
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 0101250146 (VA), MD461609 (PA)
2 SAINT ANTHONYS WAY STE 305, Alton, IL 62002
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Secondary Practice Location 1

Location 1735 Norman Dr Ste 3Lebanon, PA 17042-7559 · Phone (717) 270-7908 · Fax (717) 272-1734

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raman Kumar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638336225
PECOS Enrollment IDI20190521000119
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Raman Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osf Multi-Specialty Group
133 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
58 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services26 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
25 services25 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140052
LocationSt Anthony's WayAlton, IL 62002 · Madison County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIEN-JUNG LIN M.D., PH.D.
Internal Medicine (Interventional Cardiology)
2 SAINT ANTHONYS WAY STE 305
ALTON, IL 62002
Madison County (618) 474-6277
NADA MEMON MD
Internal Medicine (Cardiovascular Disease)
2 SAINT ANTHONYS WAY STE 305
ALTON, IL 62002
Madison County (618) 474-6277
CAROL LYNN SIEVERS
Nutritionist (Nutrition, Education)
2 SAINT ANTHONYS WAY STE 305
ALTON, IL 62002
Madison County (618) 462-2222

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 Raman Kumar's NPI number?

The NPI number for Raman Kumar is 1386866853. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Raman Kumar located?

Raman Kumar practices at 2 Saint Anthonys Way Ste 305, Alton, IL 62002. The listed phone number is (618) 465-9024.

What is Raman Kumar's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Raman Kumar enrolled in Medicare?

Yes. Raman Kumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Raman Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raman Kumar reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The 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 Raman Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raman Kumar accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Raman Kumar 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.

Is Raman Kumar affiliated with any hospitals?

According to CMS data, Raman Kumar is affiliated with Osf Saint Anthony's Health Center.

When was this NPI record last updated?

The NPPES record for Raman Kumar was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.