Raj Penumetsa, is a medicare enrolled "Hospitalist" physician in Oregon, Ohio. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is
2750 Pickle Rd Apt 11, Oregon, Ohio. You can reach out to his office (for appointments etc.) via phone at
(567) 277-0342.
Raj Penumetsa is licensed to practice in Ohio (license number 35.126661) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952667974.
Physician's Profile
Full Name | Raj Penumetsa |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 17 Years |
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Location | 2750 Pickle Rd Apt 11, Oregon, Ohio |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Raj Penumetsa graduated from medical school in 2007
NPI Data:
- NPI Number: 1952667974
- Provider Enumeration Date: 04/03/2012
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678873288
- Enrollment ID: I20170628001970
Medical Identifiers
Medical identifiers for Raj Penumetsa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952667974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | U9769 (Texas) | Secondary |
208M00000X | Hospitalist | 35.126661 (Ohio) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1482 |
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. Raj Penumetsa allows following entities to bill medicare on his behalf.
Entity Name | South Sound Inpatient Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668 |
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Entity Name | Cogent Healthcare Of Washington, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861430522 PECOS PAC ID: 2062306350 Enrollment ID: O20040209000839 |
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Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
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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. Raj Penumetsa 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 Address | Practice Location Address |
Raj Penumetsa, 2750 Pickle Rd Apt 11, Oregon, OH 43616-3935 Ph: (567) 277-0342 | Raj Penumetsa, 2750 Pickle Rd Apt 11, Oregon, OH 43616-3935 Ph: (567) 277-0342 |
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