JAGADEESWARA RAO MUSUNURU (M.D.) – Psychiatry Physician, NPI 1194940130

JAGADEESWARA RAO MUSUNURU (M.D.) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 23168 (WI). The NPI Number for JAGADEESWARA RAO MUSUNURU (M.D.) is 1194940130

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
JAGADEESWARA RAO MUSUNURU (M.D.)
NPI
1194940130
Phone
(920) 929-3502
Address
459 E 1ST ST
Enumeration Date
16 April 2007
Last Update Date
22 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9208321624
Graduation Year
1971 (55 years ago)
PAC ID
5799689378
Group Practice PAC ID
7517930019
Professional Enrollment ID
I20080919000293
Address ID
WI549115918AP320XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

677 PSYCHIATRY in WI

Provider Addresses for JAGADEESWARA RAO MUSUNURU (M.D.)

  • 459 E 1ST ST

    FOND DU LAC, WI 549354505

    Phone: (920) 929-3502

    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 $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-07-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($32).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-17

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: 2008-09-19

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
I20080919000293IPsychiatryWITBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes15645$0
99214Established patient office or other outpatient visit, 30-39 minutes11231$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4213$0
99239Hospital discharge day management, more than 30 minutes2622$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2320$0
View full utilization report →

Insurance plans in this area (ZIP 54935)

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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: 7517930019View full group profile
NameSpecialtyState
Clinical Social WorkerWI
P S Y C H I A T R YWI
-WI
P S Y C H I A T R YFL
-WI
P S Y C H I A T R YMI
-WI
Clinical Social WorkerWI
-WI
Mental Health CounselorWI

Reviews

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Frequently asked questions

Can I verify JAGADEESWARA RAO MUSUNURU (M.D.) with an NPI only?
You can start verification with NPI 1194940130 for JAGADEESWARA RAO MUSUNURU (M.D.), then check state licensing separately.
Is JAGADEESWARA RAO MUSUNURU (M.D.) still practicing?
JAGADEESWARA RAO MUSUNURU (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes JAGADEESWARA RAO MUSUNURU (M.D.)?
For research purposes, treat JAGADEESWARA RAO MUSUNURU (M.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JAGADEESWARA RAO MUSUNURU (M.D.) on a map?
Expect Fond Du Lac, Wisconsin as a primary anchor for JAGADEESWARA RAO MUSUNURU (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.