DR. DEVARAJU KANMANIRAJA MD NPI 1720245582

NPI Information

NPI: 1720245582
Provider Name: DR. DEVARAJU KANMANIRAJA, MD
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Individual
PECOS Registration: Yes
Address: 655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 383-1024

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NPI Details

DR. Devaraju Kanmaniraja, MD is a diagnostic radiology radiology in Jacksonville, FL with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Devaraju Kanmaniraja, MD NPI is 1720245582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 383-1024
Fax: (904) 244-8827

The NPI 1720245582 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
Mri scan of abdomen before and after contrast (HCPCS:74183)
Ct scan of chest with contrast (HCPCS:71260)
Ct scan of chest without contrast (HCPCS:71250)
Mri scan of abdomen before and after contrast (HCPCS:74183)
Ct scan of blood vessels of chest with contrast (HCPCS:71275)
X-ray of abdomen, 1 view (HCPCS:74018)
Imaging for evaluation of swallowing function (HCPCS:74230)
Mri scan of pelvis without contrast (HCPCS:72195)
Mri scan of pelvis without contrast (HCPCS:72195)
Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)

The enumeration date for this NPI number is 5/20/2008 and was last updated on 5/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	255618	NEW YORK	No
2	2085R0202X	Radiology	Diagnostic Radiology	ME107975	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	003159388A	MEDICAID	GEORGIA
2	014508600	MEDICAID	FLORIDA
3	IC575Z	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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