Dr. Hanumantha R. Kolusu MD, PC
NPI 1477717197 · Primary Care Clinic/Center · Moline, IL
Dr. Hanumantha R. Kolusu MD, PC is a Primary Care Clinic/Center organization in Moline, IL (NPI 1477717197).
Provider details
- NPI number
- 1477717197
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hanumantha Kolusu, President(563) 243-2022
- License
- 31016 (IA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-11
- Last updated
- 2019-08-15
Frequently asked questions
- What is Dr. Hanumantha R. Kolusu MD, PC's NPI number?
- Dr. Hanumantha R. Kolusu MD, PC's National Provider Identifier (NPI) is 1477717197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Hanumantha R. Kolusu MD, PC?
- Dr. Hanumantha R. Kolusu MD, PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dr. Hanumantha R. Kolusu MD, PC located?
- Dr. Hanumantha R. Kolusu MD, PC's practice location on file with NPPES is 609 35th Ave Ste 1a, Moline, IL 61265-6146.
- What is Dr. Hanumantha R. Kolusu MD, PC's phone number?
- The practice phone number listed in the NPPES registry for Dr. Hanumantha R. Kolusu MD, PC is (563) 243-2022.
- Who is the authorized official for Dr. Hanumantha R. Kolusu MD, PC?
- The authorized official listed on Dr. Hanumantha R. Kolusu MD, PC's NPPES record is Hanumantha Kolusu, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Hanumantha R. Kolusu MD, PC's NPI active?
- Yes — Dr. Hanumantha R. Kolusu MD, PC's NPI (1477717197) is active in the NPPES registry as of the last update on 2019-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.