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RAGHU NANDAN KANUMALLA DO
NPI 1497313696
Family Medicine in Bangor, ME

Active since June 03, 2019PECOS EnrolledAccepts Medicare Assignment
895 UNION ST STE 12, BANGOR, ME 04401(207) 973-7979(207) 947-9579 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2022, Jun 18, 2019, Jun 3, 2019 (3 updates tracked since 2019).

About Raghu Nandan Kanumalla Do NPPES

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

RAGHU NANDAN KANUMALLA DO (NPI 1497313696) is an individual family medicine provider in Bangor, Maine, licensed in Maine (DO3417) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497313696
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAGHU NANDAN KANUMALLACredential: DO
Location Address895 UNION ST STE 12Bangor, ME 04401-3054
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5035 · Fax (207) 973-5042
Phone(207) 973-7979
Fax(207) 947-9579
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 3, 2019
Last NPPES UpdateJuly 19, 20223 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1497313696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · DO3417
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
895 UNION ST STE 12, Bangor, ME 04401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raghu Nandan Kanumalla Do 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 ID1153659271
PECOS Enrollment IDI20220712003017
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Northern Light Mayo Hospital

Critical Access Hospitals · Dover Foxcroft, ME
OwnershipGovernment - Hospital District or Authority
CMS Certification Number201309
Location897 West Main StreetDover Foxcroft, ME 04426 · Piscataquis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 20

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

HEATH MYERS LCSW
Social Worker (Clinical)
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
CHIA CHEN CHUANG DO
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
CALLAGHAN JOSEPH GILLIS MD
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
DANE WANNIARACHIGE MD
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
ADAM DAVID SMITH MD
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
HANNAH MARION VARNEY ALBERT DO
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
AVERY DEVIN HERZOG LMSW-CC
Social Worker (Clinical)
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
SUNMEET KAUR MD
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979

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 Raghu Kanumalla's NPI number?

The NPI number for Raghu Kanumalla is 1497313696. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Raghu Kanumalla located?

Raghu Kanumalla practices at 895 Union St Ste 12, Bangor, ME 04401. The listed phone number is (207) 973-7979.

What is Raghu Kanumalla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raghu Kanumalla enrolled in Medicare?

Yes. Raghu Kanumalla 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.

Is Raghu Kanumalla affiliated with any hospitals?

According to CMS data, Raghu Kanumalla is affiliated with St Joseph Hospital, Northern Light Eastern Maine Medical Center, Northern Light Maine Coast Hospital and Northern Light Mayo Hospital.

When was this NPI record last updated?

The NPPES record for Raghu Kanumalla was last updated on July 19, 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.