Priya Kumaraguru, M.D.
NPI 1902062862ActiveIndividual· Family Medicine· Alton, IL
Family Medicine (M.D.) with Ssm Medical Group Inc, practicing in Alton, Illinois. Their prescriptions cost Medicare Part D more than their services did: $354,637 for 3,798 claims, against $7,981 paid for services in 2024. Exact Sciences Corporation reported $17.26 in payments in 2025, mostly food and beverage. Lists Alton Memorial Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1902062862 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 31, 2008 |
| Last updated in NPPES | Mar 9, 2023 |
| Certified by provider | Mar 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036127459 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (IL); Practitioner - Family Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 133 across 8 procedure codes |
| Paid by Medicare | $7,981 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,798 · 7,698 30-day fills |
|---|---|
| Patients | 258 |
| Total drug cost | $354,637 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Ssm Medical Group IncSaint Charles, MO · 568 clinicians
Hospital affiliations
- Alton Memorial HospitalAlton, IL
- Barnes Jewish HospitalSaint Louis, MO
- Ssm Health Depaul Hospital St LouisBridgeton, MO
- Ssm Health St Mary's Hospital - St LouisSaint Louis, MO
Other facilities
- Ssm Health Rehabilitation HospitalInpatient rehabilitation facility · Richmond Heights, MO
Industry payments (Open Payments)
- 2025$17.26 · 1 payment from 1 company
- 2024$36.13 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $17.26 | 1 |
What the 2025 payments were for
- Food and Beverage$17.26 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family medicine physicians in Alton
- 1053503045
- 1295720993
- 1548995897
- 1710484332
- 1790834737
- 1801902432
- 1952693707
- 1144905787
- 1184354169
- 1750952115
- 1891365391
- 1174253629
All 39 family medicine physicians in Alton · All family medicine physicians in Illinois