DR. PREMRAJ MAKKUNI MD
NPI 1730395740
Internal Medicine - Cardiovascular Disease in Exton, PA

Q: What is Premraj Makkuni's NPI number?

The NPI number for Premraj Makkuni is 1730395740. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Q: What is Premraj Makkuni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Premraj Makkuni was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment

154 EXTON SQUARE MALL, EXTON, PA 19341(484) 476-1000(484) 876-2164 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2026, Nov 5, 2025, Jan 13, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Premraj Makkuni Md NPPES

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

DR. PREMRAJ MAKKUNI MD (NPI 1730395740) is an individual cardiovascular disease provider in Exton, Pennsylvania, licensed in Pennsylvania (MD433572) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1730395740

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. PREMRAJ MAKKUNICredential: MD

Location Address154 EXTON SQUARE MALLExton, PA 19341-2440

Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336

Phone(484) 476-1000

Fax(484) 876-2164

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 15, 2007

Last NPPES UpdateApril 16, 20264 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1730395740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in PA · MD433572✔ Licensed in WI · 57526-020

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

154 EXTON SQUARE MALL, Exton, PA 19341

Open in Google Maps ↗

Secondary Practice Location 1

Location 13200 E Racine StJanesville, WI 53546-2343 · Phone (608) 371-8000 · Fax (608) 371-8942

Other Identifiers 1

Other61338WI · Dean Health Insurance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Dr. Premraj Makkuni 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 ID5092857532

PECOS Enrollment IDI20210216001447

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 Reassignments

Medicare enrollment records show Premraj Makkuni reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coatesville Cardiology Clinic LLC

7.7 mi

Cardiovascular Disease

3025 C G ZINN RD
Thorndale, PA 19372

Reassigned Medicare billing, Pennsylvania enrollment
24 clinicians in this Medicare group

NPI 1427369404 (610) 384-2211

Main Line Healthcare

12 mi

Family Medicine

3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073

Reassigned Medicare billing, Pennsylvania enrollment
1,638 clinicians in this Medicare group

NPI 1922077643 (484) 337-1585

West Grove Clinic Company LLC

17 mi

Neurology

1015 W BALTIMORE PIKE
West Grove, PA 19390

Reassigned Medicare billing, Pennsylvania enrollment
106 clinicians in this Medicare group

NPI 1093355992 (610) 869-1555

Aspirus Medical Group, Inc.

767 mi

Clinic/Center

1660 SUEALAN DRIVE
Wittenberg, WI 54499

Reassigned Medicare billing, Wisconsin enrollment
415 clinicians in this Medicare group

NPI 1992950133 (715) 253-2110

Aspirus Wausau Hospital Inc

767 mi

Clinic/Center

1660 SUE ALAN DR
Wittenberg, WI 54499

Reassigned Medicare billing, Wisconsin enrollment
633 clinicians in this Medicare group

NPI 1467782821 (715) 253-2110

Aspirus Medford Hospital & Clinics, Inc.

813 mi

Rural Health

729 PINE ST
Athens, WI 54411

Reassigned Medicare billing, Wisconsin enrollment
376 clinicians in this Medicare group

NPI 1760912919 (715) 748-8100

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 21

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

856 services709 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

237 services206 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.

163 services106 patients

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.

120 services98 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

119 services113 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

117 services70 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

113 services112 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

111 services111 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

104 services104 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

40 services40 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.

34 services30 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.

28 services28 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

23 services22 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

18 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services17 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

17 services17 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

13 services12 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

13 services13 patients

Ultrasound of heart blood flow, valves and chambers 93320

12 services12 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

11 services11 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390139

Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County

Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390153

Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County

Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390195

Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County

Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390222

Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19341 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 17

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

JASON E. CONWELL MD

Family Medicine

154 EXTON SQUARE MALL
EXTON, PA 19341

Chester County (484) 565-8500

PALLAVI ARABOLU MD

Pediatrics

154 EXTON SQUARE MALL, NEMOURS DUPONT PEDIATRICS, EXTON
EXTON, PA 19341

Chester County (484) 565-8507

CRISTIN SAMANTHA HAGELSTEIN M.D.

General Practice

154 EXTON SQUARE MALL, NEMOURS DUPONT PEDIATRICS, EXTON
EXTON, PA 19341

Chester County (484) 565-8507

MAURA PISANO

Nurse Practitioner (Family)

154 EXTON SQUARE MALL
EXTON, PA 19341

Chester County (484) 565-8500

YAEL BECK SILVERMAN LCSW

Social Worker (Clinical)

154 EXTON SQUARE MALL
EXTON, PA 19341

Chester County (888) 227-3898

EMILIA SOPHIA KLEINMAN D.O.

Family Medicine

154 EXTON SQUARE MALL
EXTON, PA 19341

Chester County (484) 565-8500

ANNE D FERNANDO MD

Pediatrics

154 EXTON SQUARE MALL, NEMOURS DUPONT PEDIATRICS, EXTON
EXTON, PA 19341

Chester County (484) 565-8507

MEGAN HOSGOOD

Nurse Practitioner

154 EXTON SQUARE MALL
EXTON, PA 19341

Chester County (484) 476-1000

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 Premraj Makkuni's NPI number?

The NPI number for Premraj Makkuni is 1730395740. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Premraj Makkuni located?

Premraj Makkuni practices at 154 Exton Square Mall, Exton, PA 19341. The listed phone number is (484) 476-1000.

What is Premraj Makkuni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Premraj Makkuni enrolled in Medicare?

Yes. Premraj Makkuni 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 organizations bill Medicare for Premraj Makkuni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Premraj Makkuni reassigns Medicare benefits to 6 organizations: Coatesville Cardiology Clinic LLC (Thorndale, PA), Main Line Healthcare (Newtown Square, PA), West Grove Clinic Company LLC (West Grove, PA), Aspirus Medical Group, Inc. (Wittenberg, WI), Aspirus Wausau Hospital Inc (Wittenberg, WI) and 1 more organization, listed in the Medicare section above. Each 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 Premraj Makkuni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Premraj Makkuni accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Premraj Makkuni 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 Premraj Makkuni affiliated with any hospitals?

According to CMS data, Premraj Makkuni is affiliated with Bryn Mawr Hospital, Paoli Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Premraj Makkuni was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.