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

Sriraj T. Kanungo, MD

Individual provider Nephrology Physician · NPI 1548355621

Sriraj T. Kanungo, MD is a Nephrology in Maryville, Illinois. Graduated from Saint Louis University School of Medicine in 2002, 24 years ago. Practices with Anderson Medical Group LLC, a 139-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
24
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6812 State Route 162 Ste 121
Maryville, IL 62062-8586
Phone: (618) 391-5690
Fax: (618) 391-5691
Show map & directions

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

Additional practice locations (1)

  • 1034 S Brentwood Blvd, Saint Louis, MO 63117-1223 — (314) 644-3535

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2005018762 (MO)

Record details

NPI number1548355621
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address6810 State Route 162, Box 215, Maryville, IL 62062

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Anderson Medical Group Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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