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

Raghu Kanumuri, MD

Individual provider Family Medicine Physician · NPI 1700869112

Raghu Kanumuri, MD is an Emergency Medicine in Maryville, Illinois. Qualified in 1991, 35 years ago. Practices with Emergency Physicians of St Lukes LLC, a 64-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
35
Licensed in
IL
In the registry since
2005
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

6800 State Route 162
Maryville, IL 62062-8500
Phone: (800) 968-6866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036-101187 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036101187 (IL)

Record details

NPI number1700869112
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESAugust 27, 2019
Mailing addressPo Box 66971, Dept Le, Saint Louis, MO 63166-6971

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Emergency Physicians Of St Lukes Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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