| 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 |
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Emergency Anderson Health Inc | 8022401256 | 24 |
| Physician Specialists Of St Lukes Llc | 1557366960 | 85 |
| Emergency Physicians Of St Lukes Llc | 3779714142 | 58 |
| 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 | |
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: Not Enrolled in Medicare 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 | |
Steve T Cheche, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 800-968-6866 |