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DR. RAJA GOPAL SUNKAVALLI M.D
NPI 1760615710
Pediatrics in Martinsburg, WV

Active since August 25, 2009PECOS Enrolled
2000 PROFESSIONAL CT STE C, MARTINSBURG, WV 25401(304) 263-8853(304) 263-6178 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 8, 2022, Apr 7, 2022, Jan 8, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Raja Gopal Sunkavalli M.d NPPES

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

DR. RAJA GOPAL SUNKAVALLI M.D (NPI 1760615710) is an individual pediatrics provider in Martinsburg, West Virginia, licensed in West Virginia (26089) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760615710
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RAJA GOPAL SUNKAVALLICredential: M.D
Location Address2000 PROFESSIONAL CT STE CMartinsburg, WV 25401-8803
Mailing Address2500 Foundation WayMartinsburg, WV 25401-9000 · (304) 264-9202 · Fax (304) 264-9042
Phone(304) 263-8853
Fax(304) 263-6178
Sole ProprietorNo
Enumeration DateAugust 25, 2009
Last NPPES UpdateNovember 8, 20224 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
✔ NPI 1760615710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WV · 26089✔ Licensed in IL · 125055068✔ Licensed in GA · 66329
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2000 PROFESSIONAL CT STE C, Martinsburg, WV 25401
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Other Identifiers 2

Medicaid3810028050WV
OtherWV4760B987WV · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raja Gopal Sunkavalli M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Raja Gopal Sunkavalli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Hematology And Oncology
0.1 mi
Clinical Medical Laboratory
2008 PROFESSIONAL CT
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia University Medical Corporation
  • 2,471 clinicians in this Medicare group
NPI 1306125612 (304) 293-7401
University Healthcare Physicians Inc
0.1 mi
Anesthesiology
2500 FOUNDATION WAY
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • 208 clinicians in this Medicare group
NPI 1417371329 (304) 264-9202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 5

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

RAFKA CHAIBAN M.D
Pediatrics
2000 PROFESSIONAL CT STE C
MARTINSBURG, WV 25401
Berkeley County (304) 263-8853
CITY HOSPITAL INC
General Acute Care Hospital
2000 PROFESSIONAL CT STE C
MARTINSBURG, WV 25401
Berkeley County (304) 263-8853
CAROL HAYDEN OLIVER PPCNP
Nurse Practitioner (Pediatrics)
2000 PROFESSIONAL CT STE C
MARTINSBURG, WV 25401
Berkeley County (304) 263-8853
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Pediatrics
2000 PROFESSIONAL CT STE C
MARTINSBURG, WV 25401
Berkeley County (304) 263-8853
REBECCA LEE M.D.
Pediatrics
2000 PROFESSIONAL CT STE C
MARTINSBURG, WV 25401
Berkeley County (304) 263-8853

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 Raja Gopal Sunkavalli's NPI number?

The NPI number for Raja Gopal Sunkavalli is 1760615710. It was assigned to this individual provider in the NPPES registry on August 25, 2009.

Where is Raja Gopal Sunkavalli located?

Raja Gopal Sunkavalli practices at 2000 Professional Ct Ste C, Martinsburg, WV 25401. The listed phone number is (304) 263-8853.

What is Raja Gopal Sunkavalli's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Raja Gopal Sunkavalli enrolled in Medicare?

Yes. Raja Gopal Sunkavalli is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Raja Gopal Sunkavalli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raja Gopal Sunkavalli reassigns Medicare benefits to 2 organizations: University Hematology And Oncology (Martinsburg, WV) and University Healthcare Physicians Inc (Martinsburg, WV). 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 Raja Gopal Sunkavalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raja Gopal Sunkavalli accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Raja Gopal Sunkavalli 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.

When was this NPI record last updated?

The NPPES record for Raja Gopal Sunkavalli was last updated on November 8, 2022. 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.