Kumar B Ennamuri MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KUMAR B ENNAMURI MD PC

Practice address

1125 N Porter Ave Ste 300
Norman, OK 73071-6443

Phone

(405) 364-0630

Fax

(405) 364-0760

NPI assigned

Nov 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kumar B. Ennamuri, M.D.NPI 1396783056

Title

Owner

Phone

(405) 364-0630

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kumar B Ennamuri, MD

  • Internal Medicine Physician
  • Norman, OK
  • NPI 1396783056
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1467527044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE STE 300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716443",
            "telephone_number": "405-364-0630",
            "fax_number": "405-364-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE STE 300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716443",
            "telephone_number": "405-364-0630",
            "fax_number": "405-364-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMAR B ENNAMURI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ENNAMURI",
        "authorized_official_first_name": "KUMAR",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-364-0630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Craig Kruk, B.A.
• Destiny Nicole Kueneman
• Thomas Louis Kuhls, M.D.
• Renee Arlene Kujawa, RN CM
• Kumar B Ennamuri
• Sudhakara R. Kunamneni, M.D.,
• Shannon Leigh Kunkel
• John Shamgar Kunze, PHARMD
• Shanon Radley Kusch, MS CCCA FAAA
• Jessica Kuwitzky, PT

• Internal Medicine Physician in Norman, OK
• Providers in Norman, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.