Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Raghuram Gop Elluru, MD, FACS

Individual provider Plastic Surgery Physician · NPI 1629075668

Dr. Raghuram Gop Elluru, MD, FACS is a Plastic and Reconstructive Surgery in Portage, Michigan. Graduated from University of Texas Southwestern Medical School at Dallas in 1988, 38 years ago. Practices with Dermatology and Skin Surgery Center, a 27-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
38
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
MI
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
FACS — Fellow of the American College of Surgeons
A surgeon admitted as a fellow of the ACS.

See every abbreviation used in this directory →

Practice location Address checks out

7971 Moorsbridge Rd
Portage, MI 49024-4075
Phone: (269) 329-2900
Fax: (269) 329-1408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 4301071666 (MI)
Plastic Surgery Physician Taxonomy 208200000X · Licence RE071666 (MI)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence RE071666 (MI)

Record details

NPI number1629075668
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FACS
Sole proprietorNo
NPI enumeratedJuly 6, 2005
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 1988 (38 years in practice)
Group practice Dermatology And Skin Surgery Center — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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