DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.) – Plastic and Reconstructive Surgery Physician, NPI 1629075668

DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.) is a healthcare provider. based in Portage, Michigan. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D., F.A.C.S.. They hold a License No. RE071666 (MI). The NPI Number for DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.) is 1629075668

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.)
NPI
1629075668
Phone
(269) 329-2900
Address
7971 MOORSBRIDGE RD
Enumeration Date
6 July 2005
Last Update Date
11 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2693290655
Graduation Year
1988 (38 years ago)
PAC ID
4789638305
Professional Enrollment ID
I20100813000525
Address ID
MI490244075PO7971XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

247 PLASTIC AND RECONSTRUCTIVE SURGERY in MI

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Provider Addresses for DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.)

  • 7971, Moorsbridge Road, Portage, Kalamazoo County, Michigan, 49024, United States

    PORTAGE, MI 490244075

    Phone: (269) 329-2900

    Fax: (269) 329-1408

    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 2 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Merz North America, Inc. ($60).

Total Amount

$77

General + Research + Ownership

Payments

2

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2010-08-13

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
I20100813000525IPlastic And Reconstructive SurgeryMITBD

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
99202New patient office or other outpatient visit, 15-29 minutes5252$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
99213Established patient office or other outpatient visit, 20-29 minutes4639$0
73130X-ray of hand, minimum of 3 views2919$0
14301Repair of wound by transferring skin, 30.1-60.0 sq cm1413$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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Provider's Procedures

DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.) performs procedures in PLASTIC AND RECONSTRUCTIVE SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PLASTIC AND RECONSTRUCTIVE SURGERYMI14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1313
PLASTIC AND RECONSTRUCTIVE SURGERYMI64721Release and/or relocation of median nerve of hand1613

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.)?
DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.) — NPI 1629075668 — is the standard way to identify this listing.
Does the file indicate DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.) is practicing under active NPI?
Directory data currently reports DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.) as active.
What is DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.)'s primary classification?
Plastic and Reconstructive Surgery Physician is the headline specialty for DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.)?
DR. RAGHURAM GOP ELLURU (M.D., F.A.C.S.)'s geographic hint is Portage, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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