DR. PREMRAJ MAKKUNI (MD) – Cardiovascular Disease Physician, NPI 1730395740
Cardiovascular Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,006 CARDIOVASCULAR DISEASE (CARDIOLOGY) in PA
Provider Addresses for DR. PREMRAJ MAKKUNI (MD)
3803 W CHESTER PIKE STE 160
NEWTOWN SQUARE, PA 190732336
Phone:
Type: Mailing
154 EXTON SQUARE MALL
EXTON, PA 193412440
Phone: (484) 476-1000
Fax: (484) 876-2164
Type: Location
7974, UW Health Court, Discovery Springs, City of Middleton, Dane County, Wisconsin, 53562, United States
MIDDLETON, WI 535625531
Phone:
Type: Mailing
University Hospital Outpatient Pharmacy, 600, Highland Avenue, Madison, Dane County, Wisconsin, 53705-2221, United States
MADISON, WI 53792
Phone: (608) 263-1530
Type: Location
600 Highland Ave
Madison, WI 53792
Phone: (608) 263-1530
Type: Location
3200 E Racine St
Janesville, WI 535462343
Phone: (608) 371-8000
Fax: (608) 371-8942
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $342.
Total Amount is formed as General ($342) + Research ($0) + Ownership ($0) = $342.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: HeartFlow, Inc. ($94).
Total Amount
$342
General + Research + Ownership
Payments
10
Total payment records
General Amount
$342
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-02-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121004000837 | I | Cardiovascular Disease (Cardiology) | WI | TBD |
| I20210216001447 | I | Cardiovascular Disease (Cardiology) | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 102 | 102 | $0 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 86 | 86 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 78 | 67 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 76 | 72 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 63 | 59 | $0 |
Insurance plans in this area (ZIP 19073)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | WI | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 109 | 109 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Family Practice | PA | |
| - | PA | |
| General Surgery | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | PA | |
| Internal Medicine | PA | |
| - | PA | |
| Family Practice, Geriatric Medicine | PA |
Reviews
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