DR. RAGHU KUNAMNENI M.D.
NPI 1750432720
Internal Medicine - Hematology & Oncology in Red Bank, NJ

Q: What is Raghu Kunamneni's NPI number?

The NPI number for Raghu Kunamneni is 1750432720. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Raghu Kunamneni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Raghu Kunamneni was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment

80.17/100

CMS Quality Rating

1 RIVERVIEW PLZ, RED BANK, NJ 07701(732) 576-8610(732) 576-8823 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 16, 2023, May 24, 2017 (2 updates tracked since 2017).

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About Dr. Raghu Kunamneni M.d. NPPES

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

DR. RAGHU KUNAMNENI M.D. (NPI 1750432720) is an individual hematology & oncology provider in Red Bank, New Jersey, licensed in New York (237569) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1750432720

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. RAGHU KUNAMNENICredential: M.D.

Location Address1 RIVERVIEW PLZRed Bank, NJ 07701-1864

Mailing Address1 Riverview PlzRed Bank, NJ 07701-1864 · (732) 576-8610 · Fax (732) 576-8823

Phone(732) 576-8610

Fax(732) 576-8823

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJanuary 16, 2007

Last NPPES UpdateJune 16, 20232 updates tracked since enumeration

NPPES CertifiedJune 16, 2023

✔ NPI 1750432720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in NY · 237569

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1 RIVERVIEW PLZ, Red Bank, NJ 07701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.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. Raghu Kunamneni M.d. 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 ID5799874244

PECOS Enrollment IDI20090521000068

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 Raghu Kunamneni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Specialty Care PC

2.0 mi

Surgical Critical Care

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
2,844 clinicians in this Medicare group

NPI 1215989249 (732) 807-0800

Msk Monmouth

4.6 mi

Medical Oncology

480 RED HILL RD
Middletown, NJ 07748

Reassigned Medicare billing, New Jersey enrollment
464 clinicians in this Medicare group

NPI 1922459163 (908) 542-3007

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 6

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 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.

534 services187 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.

98 services42 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

73 services73 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.

68 services54 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.

61 services43 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.

30 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310034

LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County

Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number310052

Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County

Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310073

Location1945 State Route 33Neptune, NJ 07753 · Monmouth County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310112

Location727 N Beers StHolmdel, NJ 07733 · Monmouth County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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

$185.05 typical visit price

range $61.59 – $185.05

Typical copayment $46.26 (range $15.39 – $46.26)

Most-billed visit code 99205

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

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.

80.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.76

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

48%198 patients3/55-star benchmark: 92%

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%571 patients5/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

39%348 patients2/55-star benchmark: 85%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

70%1,228 patients2/55-star benchmark: 100%

Oncology: Medical and Radiation - Pain Intensity Quantified

Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified

98%170 patients4/55-star benchmark: 100%

Oncology: Medical and Radiation - Plan of Care for Pain

Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain

98%46 patients4/55-star benchmark: 100%

Pain Assessment and Follow-Up

Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present

86%1,231 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

78%333 patients4/55-star benchmark: 90%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

46%296 patients3/55-star benchmark: 88%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CHERIE KACPROWICZ MA

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