RAVDEEP S KHANUJA (M.D.) – Psychiatry Physician, NPI 1750433256

RAVDEEP S KHANUJA (M.D.) is a healthcare provider. based in Poplar bluff, Missouri. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 118304 (MO). The NPI Number for RAVDEEP S KHANUJA (M.D.) is 1750433256

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
RAVDEEP S KHANUJA (M.D.)
NPI
1750433256
Phone
(573) 686-1200
Address
3001 WARRIOR LN
Enumeration Date
17 January 2007
Last Update Date
17 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738885925
Graduation Year
1994 (32 years ago)
PAC ID
0648441410
Group Practice PAC ID
2163410481
Professional Enrollment ID
I20110928000022
Address ID
MO638570071KEBLDGXVVXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

819 PSYCHIATRY in MO

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Provider Addresses for RAVDEEP S KHANUJA (M.D.)

  • 3001, Warrior Lane, Poplar Bluff, Butler County, Missouri, 63901, United States

    P.O. BOX 280

    POPLAR BLUFF, MO 639018685

    Phone: (573) 686-1200

    Fax: (573) 686-1029

    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 154 Open Payments records for all available years, with a total value of $48,856.

Total Amount is formed as General ($48,856) + Research ($0) + Ownership ($0) = $48,856.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Alkermes, Inc. ($34,372).

Total Amount

$48,856

General + Research + Ownership

Payments

154

Total payment records

General Amount

$48,856

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2011-09-28

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
I20110928000022IPsychiatryMOTBD

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
99442Telephone medical discussion with physician, 11-20 minutes34882$0
99443Telephone medical discussion with physician, 21-30 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 63901)

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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: 2163410481View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Clinical Social WorkerAR
Mental Health CounselorMO
Clinical Social WorkerMO
Nurse PractitionerMO
Clinical Social WorkerOK
Nurse PractitionerKY
Mental Health CounselorMO
Mental Health CounselorMO
Mental Health CounselorMO

Reviews

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Frequently asked questions

Is there an official ID for RAVDEEP S KHANUJA (M.D.) in U.S. healthcare records?
The official identifier for RAVDEEP S KHANUJA (M.D.) is NPI 1750433256.
Active or inactive — what applies to RAVDEEP S KHANUJA (M.D.)?
You should see RAVDEEP S KHANUJA (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to RAVDEEP S KHANUJA (M.D.)?
RAVDEEP S KHANUJA (M.D.)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is RAVDEEP S KHANUJA (M.D.) registered?
Use Poplar Bluff, Missouri as the headline location for RAVDEEP S KHANUJA (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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