DR. DEVARAJU KANMANIRAJA MD
NPI 1720245582
Radiology - Diagnostic Radiology in Jacksonville, FL

Active since May 20, 2008PECOS Enrolled
100/100
CMS Quality Rating
655 W 8TH ST, JACKSONVILLE, FL 32209(904) 383-1024(904) 244-8827 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Devaraju Kanmaniraja Md NPPES

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

DR. DEVARAJU KANMANIRAJA MD (NPI 1720245582) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME107975) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1720245582
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DEVARAJU KANMANIRAJACredential: MD
Location Address655 W 8TH STJacksonville, FL 32209-6511
Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 244-3660
Fax(904) 244-8827
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 20, 2008
Last NPPES UpdateMay 13, 2015
NPI 1720245582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in FL · ME107975 Licensed in NY · 255618
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
655 W 8TH ST, Jacksonville, FL 32209

Other Identifiers 3

Medicaid003159388AGA
Medicaid014508600FL
Medicare PINIC575ZFL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Devaraju Kanmaniraja Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345419347
PECOS Enrollment IDI20180309000859
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 12

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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
2,165 services25 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
143 services139 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
55 services55 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
34 services34 patients
Mri scan of abdomen before and after contrast 74183
An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
32 services31 patients
Mri scan of abdomen before and after contrast 74183
An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
655 W 8TH ST
JACKSONVILLE, FL 32209
Pediatrics (Neonatal-Perinatal Medicine)
655 W 8TH ST
JACKSONVILLE, FL 32209
Physical Therapist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
655 W 8TH ST
JACKSONVILLE, FL 32209

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 Devaraju Kanmaniraja's NPI number?

The NPI number for Devaraju Kanmaniraja is 1720245582. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Devaraju Kanmaniraja located?

Devaraju Kanmaniraja practices at 655 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 383-1024.

What is Devaraju Kanmaniraja's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Devaraju Kanmaniraja enrolled in Medicare?

Yes. Devaraju Kanmaniraja is registered in the Medicare PECOS enrollment system.

Is Devaraju Kanmaniraja affiliated with any hospitals?

According to CMS data, Devaraju Kanmaniraja is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Devaraju Kanmaniraja was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.