RAGHU KANUMURI (MD) – Emergency Medicine Physician, NPI 1700869112

RAGHU KANUMURI (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in HOSPITALIST, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 036101187 (IL). The NPI Number for RAGHU KANUMURI (MD) is 1700869112

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
RAGHU KANUMURI (MD)
NPI
1700869112
Phone
(800) 968-6866
Address
PO BOX 66971
Enumeration Date
21 November 2005
Last Update Date
27 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362568644
Graduation Year
1991 (35 years ago)
PAC ID
0042101446
Group Practice PAC ID
3779714142
Professional Enrollment ID
I20110330000891
Address ID
MO630112219EL233XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,390 HOSPITALIST in IL

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Provider Addresses for RAGHU KANUMURI (MD)

  • The Y Store, MN 1; MN 169, Tower, Saint Louis County, Minnesota, 55790, United States

    DEPT LE

    SAINT LOUIS, MO 631666971

    Phone: (800) 968-6866

    Type: Mailing

  • Anderson Hospital, 6800, State Route 162, Maryville, Madison County, Illinois, 62062, United States

    MARYVILLE, IL 620628500

    Phone: (800) 968-6866

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-06-22 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($91).

Total Amount

$105

General + Research + Ownership

Payments

4

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-22

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: 2011-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040324000303IEmergency MedicineILTBD
I20110330000891IEmergency MedicineMOTBD

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
99285Emergency department visit with high level of medical decision making502461$0
99284Emergency department visit with moderate level of medical decision making244240$0
99283Emergency department visit with low level of medical decision making8885$0
99291Critical care, first 30-74 minutes6060$0
99282Emergency department visit with straightforward medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 63166)

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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: 3779714142View full group profile
NameSpecialtyState
Nurse PractitionerMO
-MO
-MO
Emergency MedicineMO
Emergency MedicineCA
Family PracticeMO
-MO
Emergency Medicine, Preventive MedicineMO
Nurse PractitionerMO
Emergency MedicineMO

Reviews

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Frequently asked questions

How do I look up RAGHU KANUMURI (MD) by NPI?
Use NPI 1700869112 when you need to reference RAGHU KANUMURI (MD) in forms, claims, or directories.
Is RAGHU KANUMURI (MD) currently active in the NPI registry?
CMS-published data lists RAGHU KANUMURI (MD) as an active registrant.
What does RAGHU KANUMURI (MD) treat or focus on?
Patients typically see RAGHU KANUMURI (MD) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for RAGHU KANUMURI (MD)?
The page summarizes Saint Louis, Missouri for RAGHU KANUMURI (MD); expand the address list for detail.
Is RAGHU KANUMURI (MD) a real provider?
This page reflects official NPPES data for NPI 1700869112. Always confirm identity and privileges with the practice and licensing boards.

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