VENUMADHAV CHIRUNOMULA MD
NPI 1528292406
Hospitalist in Cumberland, MD

NPI Status: Active since May 07, 2009

Contact Information

12500 WILLOWBROOK RD
HOSPITALIST DEPARTMENT
CUMBERLAND, MD
ZIP 21502
Phone: (240) 964-8564

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 21
  • Hospitalist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About VENUMADHAV CHIRUNOMULA

This page provides the complete NPI Profile along with additional information for Venumadhav Chirunomula, a provider established in Cumberland, Maryland with a medical specialization in Hospitalist and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1528292406 assigned on May 2009. The practitioner's primary taxonomy code is 208M00000X with license number D74399 (MD). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1528292406
Provider Name
VENUMADHAV CHIRUNOMULA MD
Gender
Male
Entity Type
Individual
Location Address
12500 WILLOWBROOK RD HOSPITALIST DEPARTMENT CUMBERLAND, MD 21502
Location Phone
(240) 964-8564
Mailing Address
12500 WILLOWBROOK RD HOSPITALIST DEPARTMENT CUMBERLAND, MD 21502
Mailing Phone
(240) 964-8564
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
05-07-2009
Last Update Date
08-08-2012
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
D74399
License State
MD
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 9200 (+ Incentives) - EPO
  • Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
  • Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Venumadhav Chirunomula is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Venumadhav Chirunomula is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8729238266

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140109000517

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    3 DME suppliers used 15 Medicare Claims 15 Services Paid

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)

    2 DME suppliers used 49 Medicare Claims 50 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    4 DME suppliers used 20 Medicare Claims 20 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 21 times for 17 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 913 times for 98 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 1,815 times for 133 patients

Hospital discharge day management, 30 minutes or less

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

This service was performed 41 times for 41 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 60 times for 60 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 23 times for 23 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 96 times for 95 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $33.26 for a new patient copayment and $25.52 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21502 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $133.05
  • Minimum New Patient Price $57.99
  • Maximum New Patient Price $175.57
  • Average New Patient Copayment $33.26
  • Minimum New Patient Copayment $14.49
  • Maximum New Patient Copayment $43.89

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.11
  • Minimum Established Patient Price $18.66
  • Maximum Established Patient Price $143.02
  • Average Established Patient Copayment $25.52
  • Minimum Established Patient Copayment $4.66
  • Maximum Established Patient Copayment $35.75

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Venumadhav Chirunomula is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MERCY HOSPITAL SOUTHEAST1701 LACEY ST
CAPE GIRARDEAU, MO 63701
(573) 334-4822Acute Care Hospitals
MISSOURI DELTA MEDICAL CENTER1008 NORTH MAIN ST
SIKESTON, MO 63801
(573) 471-1600Acute Care Hospitals
POPLAR BLUFF REGIONAL MEDICAL CENTER3100 OAK GROVE ROAD
POPLAR BLUFF, MO 63901
(573) 785-7721Acute Care Hospitals
SAINT FRANCIS MEDICAL CENTER211 ST FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-3000Acute Care Hospitals

Reviews for VENUMADHAV CHIRUNOMULA MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528292406
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254849440
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 4 + 9 + 4 + 4 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1528292406 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639156938 WILLIAM D. LAMM M.D.
Individual
Family Medicine12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-8564
1568423556SCOTT WATKINS MD PC
Organization
Radiology (Radiation Oncology)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-1480
1811959349DR. SCOTT VICTOR WATKINS M.D.
Individual
Radiology (Radiation Oncology)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-1480
1093753519DR. NIRMALAM NAGULENDRAN MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(301) 777-5627
1023029964MRS. CHRISTINE MARIE STURTZ CRNA
Individual
Nurse Anesthetist, Certified Registered12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-3306
1437339900DR. MATTHEW ROGER BLACK
Individual
Emergency Medicine12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(124) 096-4120
1750521696MR. DAVID BENA L.C.P.C.
Individual
Counselor (Mental Health)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-2217
1891925814WESTERN MARYLAND HEALTH SYSTEM CORPORATION
Organization
Clinic/Center (Urgent Care)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-8342
1174840243 ELLA MAE BAUGHER LCSW C
Individual
Social Worker (Clinical)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-8590
1003134362 JADE LIN BEAN LGSW
Individual
Social Worker12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-8585
1891003901 DIANE A FOOTEN LGPC
Individual
Counselor (Professional)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-8342
1912216359 DANIEL P BROWN LCSW-C
Individual
Social Worker (Clinical)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-8342
1831485572MS. CYNTHIA JEAN SHRIVER CRNP
Individual
Nurse Practitioner (Adult Health)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-1463
1669754131 AMA O AWUAH-ASAMOAH CRNP
Individual
Nurse Practitioner (Acute Care)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-8564
1285901132 DANITA LYNN PACKARD CRNP
Individual
Nurse Practitioner (Acute Care)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-8564
1427310101MS. JONI RICHELLE BRODE RD,LD
Individual
Dietitian, Registered12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-2306
1588911887 KATHERINE SARAH BERKOWITZ RD
Individual
General Acute Care Hospital12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-2311
1790021491DR. TESSA R FORBECK PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-2100
1780922534 ASHLEY D CONRAD PHARMD
Individual
Pharmacist12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-8064
1588902340MR. KELLON SEAN SMITH CRNA
Individual
Registered Nurse (Medical-Surgical)12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
(240) 964-3600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528292406, enumerated in the NPI registry as an "individual" on May 07, 2009

The provider is located at 12500 Willowbrook Rd Hospitalist Department Cumberland, Md 21502 and the phone number is (240) 964-8564

The provider's speciality is Hospitalist with taxonomy code 208M00000X

The provider has more than 21 years of experience.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $133.05 with an average copayment of $33.26 for new patient appointments. Established patients should expect a typical charge of $102.11 and an average copayment of 25.52. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, 30 minutes or less, Hospital discharge day management, more than 30 minutes, Initial hospital inpatient care per day, typically 50 minutes and Initial hospital inpatient care per day, typically 70 minutes.

The practitioner is affiliated to the following hospital(s): MERCY HOSPITAL SOUTHEAST, MISSOURI DELTA MEDICAL CENTER, POPLAR BLUFF REGIONAL MEDICAL CENTER and SAINT FRANCIS MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 07, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.