Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUPRAJA THUNUGUNTLA
NPI 1467957324
Internal Medicine - Clinical Cardiac Electrophysiology in Great Falls, MT

Q: What is Supraja Thunuguntla's NPI number?

The NPI number for Supraja Thunuguntla is 1467957324. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Q: What is Supraja Thunuguntla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Active since March 24, 2018PECOS Enrolled

1300 28TH ST S FL 2, GREAT FALLS, MT 59405(406) 455-4320(406) 731-8318 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Supraja Thunuguntla NPPES

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

SUPRAJA THUNUGUNTLA (NPI 1467957324) is an individual clinical cardiac electrophysiology provider in Great Falls, Montana, licensed in Montana (173110) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Harlingen.

NPPES Registry Identity

NPI1467957324

Entity TypeIndividualFemale

Primary Taxonomy207RC0001X

Provider Legal NameSUPRAJA THUNUGUNTLA

Location Address1300 28TH ST S FL 2Great Falls, MT 59405-5296

Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 731-8817 · Fax (406) 731-8318

Phone(406) 455-4320

Fax(406) 731-8318

Sole ProprietorNo

Enumeration DateMarch 24, 2018

Last NPPES UpdateJune 17, 2026

NPPES CertifiedJune 17, 2026

✔ NPI 1467957324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

License✔ Licensed in MT · 173110

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1300 28TH ST S FL 2, Great Falls, MT 59405

Open in Google Maps ↗

Secondary Practice Location 1

Location 12102 Treasure Hills BlvdHarlingen, TX 78550-8736 · Phone (956) 296-1590 · Fax (956) 389-4603

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supraja Thunuguntla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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

$130.52 typical visit price

range $56.81 – $172.26

Typical copayment $32.63 (range $14.20 – $43.06)

Most-billed visit code 99204

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

Most-billed visit code 99214

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 9

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

DR. ALFREDO RAFAEL RAMIREZ M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)