Dr Raja Gopal Sunkavalli, MD - Medicare Pediatrics in Martinsburg, WV

Dr Raja Gopal Sunkavalli, MD is a medicare enrolled "Pediatrics" physician in Martinsburg, West Virginia. His current practice location is 2000 Professional Ct Ste C, Martinsburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 263-8853.

Dr Raja Gopal Sunkavalli is licensed to practice in West Virginia (license number 26089) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760615710.

Contact Information

Dr Raja Gopal Sunkavalli, MD
2000 Professional Ct Ste C,
Martinsburg, WV 25401-8803
(304) 263-8853
(304) 263-6178

Map and Direction




Physician's Profile

Full NameDr Raja Gopal Sunkavalli
GenderMale
SpecialityPediatrics
Location2000 Professional Ct Ste C, Martinsburg, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760615710
  • Provider Enumeration Date: 08/25/2009
  • Last Update Date: 11/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901128529
  • Enrollment ID: I20141209001741

Medical Identifiers

Medical identifiers for Dr Raja Gopal Sunkavalli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760615710NPI-NPPES
3810028050MedicaidWV
WV4760B987OtherWVMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 125055068 (Illinois)Secondary
208000000XPediatrics 66329 (Georgia)Secondary
208000000XPediatrics 26089 (West Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Raja Gopal Sunkavalli allows following entities to bill medicare on his behalf.
Entity NameWest Virginia University Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207
Entity NameUniversity Healthcare Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659625739
PECOS PAC ID: 8325291404
Enrollment ID: O20130124000127

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Raja Gopal Sunkavalli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Raja Gopal Sunkavalli, MD
2500 Foundation Way,
Martinsburg, WV 25401-9000

Ph: (304) 264-9202
Dr Raja Gopal Sunkavalli, MD
2000 Professional Ct Ste C,
Martinsburg, WV 25401-8803

Ph: (304) 263-8853

Reviews and Comments


Pediatrics Doctors in Martinsburg, WV

Dr. Caroline E Joe, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 315 Pendleton Dr, Martinsburg, WV 25401
Phone: 304-264-9121    Fax: 304-264-9128
Justina Egbichi Eke, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1804 W King Street, 200, Martinsburg, WV 25401
Phone: 304-262-4525    Fax: 304-262-4205
Kimrie M Donovan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 99 Tavern Rd, Martinsburg, WV 25401
Phone: 304-263-4999    
Dr. Shana R Kaznoski, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1178 Shepherdstown Rd, Martinsburg, WV 25404
Phone: 304-264-9332    
Richard John Mier, MD, MPH
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 99 Tavern Road, Martinsburg, WV 25401
Phone: 304-263-4999    
Cherish M Crawford, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 99 Tavern Rd, Martinsburg, WV 25401
Phone: 304-263-4999    Fax: 304-263-4999

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.