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RAGHU KANUMURI MD
NPI 1700869112
Emergency Medicine in Maryville, IL

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
6800 STATE ROUTE 162, MARYVILLE, IL 62062(800) 968-6866 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raghu Kanumuri Md NPPES

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

RAGHU KANUMURI MD (NPI 1700869112) is an individual emergency medicine provider in Maryville, Illinois, licensed in Illinois (036-101187) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1700869112
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRAGHU KANUMURICredential: MD
Location Address6800 STATE ROUTE 162Maryville, IL 62062-8500
Mailing AddressPo Box 66971, Dept LeSaint Louis, MO 63166-6971 · (800) 968-6866
Phone(800) 968-6866
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 21, 2005
Last NPPES UpdateAugust 27, 2019
✔ NPI 1700869112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036-101187
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036101187 (IL)
6800 STATE ROUTE 162, Maryville, IL 62062
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Other Identifiers 3

Medicaid036101187-9IL
Medicaid209158815MO
Medicaid036101187IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

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 Kanumuri Md 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 ID42101446
PECOS Enrollment IDI20040324000303, I20110330000891
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
514 services483 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
267 services262 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
78 services77 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
56 services56 patients

Hospital Affiliations CMS Care Compare 5

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

St Luke's Des Peres Hospital

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260176
Location2345 Dougherty Ferry RoadSaint Louis, MO 63122 · St. Louis County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

MRS. AMANDA MARIE REILSON RD, LDN
Dietitian, Registered
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Madison County (618) 391-5528
MARY VAUGHN PT
Physical Therapist
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Madison County (618) 288-5711
DR. JONATHAN SEHY M.D., PH.D.
Radiology (Diagnostic Radiology)
6800 STATE ROUTE 162, ANDERSON HOSPITAL, DEPT. OF RADIOLOGY
MARYVILLE, IL 62062
Madison County (314) 359-3166
JESSICA MARIE SOENS RN
Registered Nurse
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Madison County (618) 391-6705
DR. CHRISTOPHER FARRAR M.D.
Hospitalist
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Madison County (618) 288-4095
DR. CHRISTOPHER ROBERT WANGARD M.D.
Pediatrics
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Madison County (618) 288-5711
UPTOWN EMERGENCY PHYSICIANS LLP
Hospitalist
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Madison County (618) 288-5711
THOMAS E HILL MD
Radiology (Diagnostic Radiology)
6800 STATE ROUTE 162, ANDERSON HOSPITAL DEPT OF RADIOLOGY
MARYVILLE, IL 62062
Madison County (618) 288-5711

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 Kanumuri's NPI number?

The NPI number for Raghu Kanumuri is 1700869112. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Raghu Kanumuri located?

Raghu Kanumuri practices at 6800 State Route 162, Maryville, IL 62062. The listed phone number is (800) 968-6866.

What is Raghu Kanumuri's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Raghu Kanumuri enrolled in Medicare?

Yes. Raghu Kanumuri 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.

What insurance does Raghu Kanumuri accept?

Health plans from Oscar Insurance Company list Raghu Kanumuri 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 Raghu Kanumuri affiliated with any hospitals?

According to CMS data, Raghu Kanumuri is affiliated with Alton Memorial Hospital, Anderson Hospital, Community Hospital Of Staunton, St Luke's Des Peres Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Raghu Kanumuri was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.