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

Jagadeeswara Rao Musunuru, MD

Individual provider Psychiatry Physician · NPI 1194940130

Jagadeeswara Rao Musunuru, MD is a Psychiatry in Fond Du Lac, Wisconsin. Qualified in 1971, 55 years ago. Practices with County of Outagamie, a 9-clinician group and accepts Medicare assignment. Licensed in Nebraska and Wisconsin.

Years since qualifying
55
Licensed in
NE, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

459 E 1st St
Fond Du Lac, WI 54935-4505
Phone: (920) 929-3502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 23168 (WI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 14564 (NE)

Record details

NPI number1194940130
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESJanuary 22, 2008

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1971 (55 years in practice)
Group practice County Of Outagamie — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fond Du Lac