Priya Kumaraguru, M.D.
NPI 1902062862 · Family Medicine Physician · Alton, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Kumaraguru, M.D. is a Family Medicine Physician provider in Alton, IL (NPI 1902062862).
Provider details
- NPI number
- 1902062862
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036127459 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
120 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 78 | $92 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 23 | $124 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 19 | $16 |
Typical Medicare-allowed amounts for these services range $16–$124 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 83 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 315 | 76 |
| Levothyroxine Sodium | 208 | 41 |
| Lisinopril | 157 | 39 |
| Amlodipine Besylate | 131 | 41 |
| Simvastatin | 116 | 21 |
| Omeprazole | 109 | 23 |
| Rosuvastatin Calcium | 87 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$36 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 9759 Manchester RdSaint Louis, MO 63119-1346Phone: (314) 781-4922
Registry dates
- Enumerated
- 2008-07-31
- Last updated
- 2023-03-09
- Certified
- 2023-03-09
Frequently asked questions
- What is Priya Kumaraguru's NPI number?
- Priya Kumaraguru's National Provider Identifier (NPI) is 1902062862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Kumaraguru's specialty?
- Priya Kumaraguru is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Priya Kumaraguru located?
- Priya Kumaraguru's practice location on file with NPPES is 2 Saint Anthonys Way, Alton, IL 62002-4569.
- What is Priya Kumaraguru's phone number?
- The practice phone number listed in the NPPES registry for Priya Kumaraguru is (618) 462-2222.
- Does Priya Kumaraguru accept Medicare?
- Priya Kumaraguru is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Kumaraguru's NPI active?
- Yes — Priya Kumaraguru's NPI (1902062862) is active in the NPPES registry as of the last update on 2023-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.