Look up the most recent NPI and PECOS records

Ratna Priya Kanumury

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1901 W Harrison St, John H. Stroger, Jr. Hospital Of Cook County, Chicago, IL 60612-3714

PECOS Enrollment

This provider is enrolled in PECOS as RATNA KANUMURY.

Based on the most recent information from CMS, provider Ratna Priya Kanumury is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1396757050
Provider Type
Individual
Full Name
Kanumury, Ratna Priya
Title
Mrs.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/12/2006
Last Updated
4/26/2021

Contact Information

Practice Location

1901 W Harrison St, John H. Stroger, Jr. Hospital Of Cook County, Chicago, IL 60612-3714

(312) 864-6000

Unlisted Fax

Mailing Location

1302 W 33rd St, Chicago, IL 60608-6359

(773) 376-7351

(773) 753-5990

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085-001042 Illinois
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085-001042 Illinois

Ratna Priya Kanumury

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Patel, Bhoomi J

Wu, Nancy

Lew, Logan

Arens, Stacy Lynn

Roy, Anne Heller

Gronski, Ellery

Walsh, Nicholas Tyler

Loehr, Nicole Catherine

Payne, Arlett

Barnes, Brenda L