Dr Raghuram Gop Elluru, MD, FACS is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Portage, Michigan. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 1988 and has 38 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Dermatology And Skin Surgery Center and his current practice location is
7971 Moorsbridge Rd, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 329-2900.
Dr Raghuram Gop Elluru is licensed to practice in Michigan (license number 4301071666) 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 1629075668.
Physician's Profile
| Full Name | Dr Raghuram Gop Elluru |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 38 Years |
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| Location | 7971 Moorsbridge Rd, Portage, Michigan |
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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. |
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Medical Education and Training:
- Dr Raghuram Gop Elluru attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1988
NPI Data:
- NPI Number: 1629075668
- Provider Enumeration Date: 07/06/2005
- Last Update Date: 03/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 4789638305
- Enrollment ID: I20100813000525
Medical Identifiers
Medical identifiers for Dr Raghuram Gop Elluru such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629075668 | NPI | - | NPPES |
| 0C90475 | Other | MI | BLUE CROSS/BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | RE071666 (Michigan) | Secondary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | RE071666 (Michigan) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 4301071666 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dermatology And Skin Surgery Center | 2668467838 | 28 |
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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 Raghuram Gop Elluru allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Michigan Plastic And Hand Surgery Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720538341
PECOS PAC ID: 6901183227
Enrollment ID: O20170515000615 |
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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. Dr Raghuram Gop Elluru 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 |
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Dr Raghuram Gop Elluru, MD, FACS
7971 Moorsbridge Rd,
Portage, MI 49024-4075
Ph: (269) 329-2900 | Dr Raghuram Gop Elluru, MD, FACS
7971 Moorsbridge Rd,
Portage, MI 49024-4075
Ph: (269) 329-2900 |
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