RAGHU MUKKAMALA (MD) – Internal Medicine Physician, NPI 1720079395

RAGHU MUKKAMALA (MD) is a healthcare provider. based in Montgomery, Alabama. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 19804 (AL). The NPI Number for RAGHU MUKKAMALA (MD) is 1720079395

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
RAGHU MUKKAMALA (MD)
NPI
1720079395
Phone
(334) 262-0342
Address
1722 PINE ST
Enumeration Date
2 November 2005
Last Update Date
28 January 2015

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
3342620342
Graduation Year
1996 (30 years ago)
PAC ID
7719173806
Group Practice PAC ID
9335131572
Professional Enrollment ID
I20101202000933
Address ID
AL361061136MO1722XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,215 INTERNAL MEDICINE in AL

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Provider Addresses for RAGHU MUKKAMALA (MD)

  • 1722, Pine Street, Oak Park, Montgomery, Montgomery County, Alabama, 36106, United States

    SUITE 309

    MONTGOMERY, AL 361061103

    Phone: (334) 262-0342

    Fax: (334) 262-0390

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $921.

Total Amount is formed as General ($921) + Research ($0) + Ownership ($0) = $921.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($159).

Total Amount

$921

General + Research + Ownership

Payments

54

Total payment records

General Amount

$921

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101202000933IInternal MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample673370$0
99214Established patient office or other outpatient visit, 30-39 minutes640390$0
80061Blood test, lipids (cholesterol and triglycerides)598388$0
84439Thyroxine (thyroid chemical), free435347$0
84443Blood test, thyroid stimulating hormone (tsh)434346$0
View full utilization report →

Insurance plans in this area (ZIP 36106)

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Provider's Procedures

RAGHU MUKKAMALA (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEAL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report631487

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335131572View full group profile
NameSpecialtyState
Nurse PractitionerAL
Internal MedicineAL
Internal MedicineAL
Internal MedicineAL
Internal MedicineAL

Reviews

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Frequently asked questions

What identifier follows RAGHU MUKKAMALA (MD) across health systems?
The NPI 1720079395 uniquely identifies RAGHU MUKKAMALA (MD) in U.S. healthcare data.
Is RAGHU MUKKAMALA (MD) currently accepting referrals based on NPI status?
Registry metadata lists RAGHU MUKKAMALA (MD) as active.
What does the directory say RAGHU MUKKAMALA (MD) does?
Insurance directories may phrase it differently, but here RAGHU MUKKAMALA (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to RAGHU MUKKAMALA (MD)?
RAGHU MUKKAMALA (MD) shows a connection to Montgomery, Alabama in registry-derived data.
Why is information missing for RAGHU MUKKAMALA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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