Raghu Kanumuri, MD | |
6800 State Route 162, Maryville, IL 62062-8500 | |
(800) 968-6866 | |
Not Available |
Full Name | Raghu Kanumuri |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 34 Years |
Location | 6800 State Route 162, Maryville, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700869112 | NPI | - | NPPES |
036101187 | Medicaid | IL | |
209158815 | Medicaid | MO | |
036101187-9 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036101187 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 036-101187 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Alton Memorial Hospital | Alton, IL | Hospital |
Anderson Hospital | Maryville, IL | Hospital |
St Luke's Des Peres Hospital | Saint louis, MO | Hospital |
Gateway Regional Medical Center | Granite city, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ahs Il Medical Group Llc | 5496111676 | 55 |
Midwest Emergency Anderson Health Inc | 8022401256 | 31 |
Physician Specialists Of St Lukes Llc | 1557366960 | 78 |
Southeastern Emergency Physicians Of Memphis Llc | 5395643209 | 82 |
Entity Name | Uptown Emergency Physicians Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811135882 PECOS PAC ID: 8921096850 Enrollment ID: O20040430001269 |
Entity Name | Alton-griffin Emergency Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891104824 PECOS PAC ID: 7315167103 Enrollment ID: O20140929002428 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20150520001245 |
Entity Name | Emergency Services Midwest Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174024806 PECOS PAC ID: 2769746056 Enrollment ID: O20180515000619 |
Entity Name | Curana Health Of Missouri-kansas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306165337 PECOS PAC ID: 4789716531 Enrollment ID: O20200610000202 |
Entity Name | Midwest Emergency Anderson Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710647615 PECOS PAC ID: 8022401256 Enrollment ID: O20220210000357 |
Entity Name | Midwest Inpatient Anderson Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821758608 PECOS PAC ID: 3072908474 Enrollment ID: O20220322002045 |
Entity Name | Ahs Il Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300 |
Mailing Address | Practice Location Address |
---|---|
Raghu Kanumuri, MD Po Box 66971, Dept Le, Saint Louis, MO 63166-6971 Ph: (800) 968-6866 | Raghu Kanumuri, MD 6800 State Route 162, Maryville, IL 62062-8500 Ph: (800) 968-6866 |
Kelly Jester Geldmacher, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-391-5711 | |
Mahmoud A Saleh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 800-968-6866 | |
Brittany N Chrisman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 | |
Dr. Christopher P Lipsmeyer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 | |
Lisa Parke Maier, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6800 State Route 162, Department Of Emergency Medicine, Maryville, IL 62062 Phone: 618-288-5711 | |
Danuta J Pikul, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 800-968-6866 | |
Dr. Michael E Mandis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2236 Vadalabene Dr, Suite 2, Maryville, IL 62062 Phone: 618-288-6136 Fax: 618-288-6143 |