SRIRAJ T. KANUNGO M.D. – NPI #1548355621
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

SRIRAJ KANUNGO is a physician located in MARYVILLE, IL. NPPES has assigned the NPI number 1548355621 to SRIRAJ KANUNGO on October 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Aug 28, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SRIRAJ KANUNGO below.

NPI Profile for
SRIRAJ T. KANUNGO

NPI Number
1548355621
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SRIRAJ T. KANUNGO
Credentials
M.D.
Primary location
6812 STATE ROUTE 162 STE 121
MARYVILLE, IL 62062-8586
Phone: (618) 391-5690 Fax: (618) 391-5691
1 Other location(s):
1034 S Brentwood Blvd
Ste 1280
Saint Louis, MO 63117-1223
Phone: (314) 644-3535
Fax: (314) 644-3255
Mailing address
6810 STATE ROUTE 162
BOX 215
MARYVILLE, IL 62062
Phone: (618) 391-6495 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 28, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 MO 2005018762

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2002
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SRIRAJ KANUNGO is affiliated with the following medical group(s):
  • HOSPITAL
    • ANDERSON HOSPITAL
      6800 STATE ROUTE 162
      MARYVILLE, IL 62062
    • COMMUNITY HOSPITAL OF STAUNTON
      400 N CALDWELL ST
      STAUNTON, IL 62088
    • MERCY HOSPITAL JEFFERSON
      1400 US HIGHWAY 61
      FESTUS, MO 63028
    • SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS
      6420 CLAYTON RD
      RICHMOND HEIGHTS, MO 63117
  • DIALYSIS FACILITY
    • DAVITA CRYSTAL CITY DIALYSIS CENTER
      960 S. TRUMAN BLVD.
      Festus, MO 63028
    • DAVITA EDWARDSVILLE DIALYSIS
      235 SOUTH BUCHANAN STREET
      EDWARDSVILLE, IL 62025
    • DAVITA MARYVILLE DIALYSIS
      2102 VADALABENE DR STE 1
      MARYVILLE, IL 62062
    • DAVITA MARYVILLE HOME DIALYSIS
      2102 Vadalabene Drive Suite B
      MARYVILLE, IL 62062
    • DAVITA NORTHGROVE DIALYSIS
      2491 Industrial Dr. Suite 200
      HIGHLAND, IL 62249

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