KUMAR B ENNAMURI (MD) – Internal Medicine Physician, NPI 1396783056

KUMAR B ENNAMURI (MD) is a healthcare provider. based in Norman, Oklahoma. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 20474 (OK). The NPI Number for KUMAR B ENNAMURI (MD) is 1396783056

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
KUMAR B ENNAMURI (MD)
NPI
1396783056
Phone
(405) 364-0630
Address
1125 N PORTER AVE STE 300
Enumeration Date
3 June 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4056326688
Graduation Year
1981 (45 years ago)
PAC ID
9436105616
Group Practice PAC ID
1557260007
Professional Enrollment ID
I20050812000116
Address ID
OK730697810NO317XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,474 INTERNAL MEDICINE in OK

Provider Addresses for KUMAR B ENNAMURI (MD)

  • 1125 N PORTER AVE STE 300

    NORMAN, OK 730716443

    Phone: (405) 364-0630

    Type: Mailing

  • Norman Medical Plaza, 1125, North Porter Avenue, Norman, Cleveland County, Oklahoma, 73071, United States

    SUITE 101

    NORMAN, OK 730716446

    Phone: (405) 364-0630

    Fax: (405) 364-0760

    Type: Mailing

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 $444.

Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Tandem Diabetes Care, Inc. ($400).

Total Amount

$444

General + Research + Ownership

Payments

4

Total payment records

General Amount

$444

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2005-08-12

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
I20050812000116IInternal MedicineOKTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes589239$0
99239Hospital discharge day management, more than 30 minutes130125$0
99213Established patient office or other outpatient visit, 20-29 minutes6531$0
99442Telephone medical discussion with physician, 11-20 minutes6234$0
99214Established patient office or other outpatient visit, 30-39 minutes4026$0
View full utilization report →

Insurance plans in this area (ZIP 73071)

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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: 1557260007View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Nurse PractitionerOK
-OK
Family PracticeOK
Certified Nurse Midwife (Cnm)OK
Family PracticeOK
Family PracticeOK
-OK
Nurse PractitionerOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

What is the registry number for KUMAR B ENNAMURI (MD)?
The registry entry for KUMAR B ENNAMURI (MD) shows NPI 1396783056.
Should I treat KUMAR B ENNAMURI (MD) as an active provider?
Patients and plans typically see KUMAR B ENNAMURI (MD) as active in the national extract.
What does the directory say KUMAR B ENNAMURI (MD) does?
Insurance directories may phrase it differently, but here KUMAR B ENNAMURI (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KUMAR B ENNAMURI (MD) in Norman, Oklahoma?
For routing, start with Norman, Oklahoma for KUMAR B ENNAMURI (MD), then verify phone and hours locally.
Can I export KUMAR B ENNAMURI (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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