Dr Priya Kumaraguru, MD - Medicare Family Practice in Alton, IL

Dr Priya Kumaraguru, MD is a medicare enrolled "Family Medicine" physician in Alton, Illinois. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Ssm Medical Group Inc and her current practice location is 2 Saint Anthonys Way, Suite 205, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 462-2222.

Dr Priya Kumaraguru is licensed to practice in Illinois (license number 036127459) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1902062862.

Contact Information

Dr Priya Kumaraguru, MD
2 Saint Anthonys Way, Suite 205,
Alton, IL 62002-4569
(618) 462-2222
(618) 463-5004

Map and Direction




Physician's Profile

Full NameDr Priya Kumaraguru
GenderFemale
SpecialityFamily Practice
Experience19 Years
Location2 Saint Anthonys Way, Alton, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Priya Kumaraguru graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1902062862
  • Provider Enumeration Date: 07/31/2008
  • Last Update Date: 03/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385816834
  • Enrollment ID: I20221121001036

Medical Identifiers

Medical identifiers for Dr Priya Kumaraguru such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902062862NPI-NPPES
P01013993OtherILRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036127459 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alton Memorial HospitalAlton, ILHospital
Ssm Depaul Health CenterBridgeton, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Medical Group Inc6608776299491

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 Priya Kumaraguru allows following entities to bill medicare on her behalf.
Entity NameSsm Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700966207
PECOS PAC ID: 6608776299
Enrollment ID: O20040729001034

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 Priya Kumaraguru 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 Priya Kumaraguru, MD
2 Saint Anthonys Way, Suite 205,
Alton, IL 62002-4569

Ph: (618) 462-2222
Dr Priya Kumaraguru, MD
2 Saint Anthonys Way, Suite 205,
Alton, IL 62002-4569

Ph: (618) 462-2222

Reviews and Comments


Family Medicine Doctors in Alton, IL

Dr. Juletta Avagyan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7240    Fax: 618-463-7216
Dr. Bryan Everett Steele, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5935
Puja Gurung, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002
Phone: 618-433-6616    
Mr. William P Robinson Jr., MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 815 E 5th Street, Suite 209, Alton, IL 62002
Phone: 618-463-0561    Fax: 618-465-9281
Dr. Anne Ugabi, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7311    
Dr. Danny Sarwat Shehata, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Memorial Dr, Alton, IL 62002
Phone: 618-463-7311    
Dr. Sisay Michael Abraham, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002
Phone: 618-474-1723    

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.