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ANUSHA KANAGALA M.D.
NPI 1811384886
Hospitalist in Richmond, VA

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment
5801 BREMO RD, RICHMOND, VA 23226(804) 287-7270 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2018, Nov 13, 2015 (2 updates tracked since 2015).

About Anusha Kanagala M.d. NPPES

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

ANUSHA KANAGALA M.D. (NPI 1811384886) is an individual hospitalist provider in Richmond, Virginia, licensed in Virginia (0101264303) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in St. Louis, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1811384886
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameANUSHA KANAGALACredential: M.D.
Location Address5801 BREMO RDRichmond, VA 23226
Mailing Address5801 Bremo RdRichmond, VA 23226-1907 · (804) 287-7270
Phone(804) 287-7270
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 17, 2015
Last NPPES UpdateJuly 3, 20182 updates tracked since enumeration
✔ NPI 1811384886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in VA · 0101264303
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5801 BREMO RD, Richmond, VA 23226
Open in Google Maps ↗

Secondary Practice Location 1

Location 16420 Clayton Road, Richmond HeightsSt. Louis, MO 63117 · Phone (314) 768-8778

Accepted Insurance

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

Anusha Kanagala 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 ID7214285428
PECOS Enrollment IDI20220920003176
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

5

Medicare enrollment records show Anusha Kanagala reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vituity-Virginia Hospitalists PC
Same address
Hospitalist
5801 BREMO RD
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 172 clinicians in this Medicare group
NPI 1518611011 (804) 285-2011
Hospitalist Medicine Physicians Of Fredericksburg, LLC
50 mi
Internal Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 258 clinicians in this Medicare group
NPI 1447577572 (330) 493-4443
Hospitalist Medicine Physicians Of Virginia LLC
117 mi
Internal Medicine
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 371 clinicians in this Medicare group
NPI 1770756991 (540) 536-4334
Capstone Health Services Foundation PC
640 mi
Neurology
100 RICE MINE ROAD LOOP STE 301
Tuscaloosa, AL 35406
  • Reassigned Medicare billing, Alabama enrollment
  • 307 clinicians in this Medicare group
NPI 1255212353 (205) 345-3881
Whatley Health Services Inc
642 mi
Federally Qualified Health Center (FQHC)
3532 GREENSBORO AVE
Tuscaloosa, AL 35401
  • Reassigned Medicare billing, Alabama enrollment
  • 244 clinicians in this Medicare group
NPI 1063606358 (205) 349-3250

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.

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.
401 services183 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.
255 services134 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
56 services55 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
52 services52 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.
24 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23226 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Reported Quality Measures

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…
83%40 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$62.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ENJANA BYLYKBASHI MD
Emergency Medicine
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 285-2011
LAUREN BROOKE CHOI RN
Registered Nurse
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 285-2011
KRISTEN KENNEDY YOUNG RN
Registered Nurse
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 281-8208
DR. BETH BARTON HEWITT MD
Pathology (Anatomic Pathology & Clinical Pathology)
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 281-8100
JAMES R SHEFFERLY M.D.
Emergency Medicine
5801 BREMO RD, VIRGINIA EMERGENCY ASSOCIATES INC
RICHMOND, VA 23226
Richmond City (804) 287-7066
JEFFRY A ZIMMERMAN P.A.
Physician Assistant
5801 BREMO RD, ST FRANCIS EMERGENCY DEPARTMENT
RICHMOND, VA 23226
Richmond City (804) 287-7066
LISA BROADDUS ZIEGLER CRNA
Nurse Anesthetist, Certified Registered
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 285-2011
JONATHAN BOWERS SURGICAL ASSISTANT
Specialist/Technologist, Other (Surgical Assistant)
5801 BREMO RD
RICHMOND, VA 23226
Richmond City (804) 281-8503

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 Anusha Kanagala's NPI number?

The NPI number for Anusha Kanagala is 1811384886. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Anusha Kanagala located?

Anusha Kanagala practices at 5801 Bremo Rd, Richmond, VA 23226. The listed phone number is (804) 287-7270.

What is Anusha Kanagala's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Anusha Kanagala enrolled in Medicare?

Yes. Anusha Kanagala 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 Anusha Kanagala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anusha Kanagala reassigns Medicare benefits to 5 organizations: Vituity-Virginia Hospitalists PC (Richmond, VA), Hospitalist Medicine Physicians Of Fredericksburg, LLC (Fredericksburg, VA), Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA), Capstone Health Services Foundation PC (Tuscaloosa, AL) and Whatley Health Services Inc (Tuscaloosa, AL). 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 Anusha Kanagala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anusha Kanagala accept?

Health plans from Blue Cross and Blue Shield of Alabama list Anusha Kanagala 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 Anusha Kanagala was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.