Individual provider Active NPI

Vinaya Mulkareddy, M.D.

  • Cardiovascular Disease Physician
  • O'Fallon, IL
National Provider Identifier
1104207984
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036.156469 Issued in IL
Practice address
3 Saint Elizabeth Blvd Ste 2800
O Fallon, IL 62269-1282
Phone
(618) 233-6044
Fax
(833) 769-0777
NPI assigned
Jun 17, 2015
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2015017257 MO
Cardiovascular Disease Physician 207RC0000X 036.156469 IL Primary

Addresses

Primary practice location

3 Saint Elizabeth Blvd Ste 2800
O Fallon, IL 62269-1282

Mailing address

3 Saint Elizabeth Blvd Ste 2800
O Fallon, IL 62269-1282
Phone (618) 233-6044

Other practice location 1

200 Lothrop Street UPMC Heart and Vascular Institute
S- 533 Scaife Hall
Pittsburgh, PA 15213
Phone (314) 362-8065

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vmulkareddy328438@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721000650 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608180583 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Saint Louis University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Holy Family Hospital IncGroup PAC ID 7517879349, 25 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

12866 Troxler Ave
Highland, IL 62249-2806
Phone (618) 651-2600

200 Health Care Dr
Greenville, IL 62246-1154
Phone (618) 664-1230

3 Saint Elizabeth Blvd
Suite 2800
O Fallon, IL 62269-1282
Phone (618) 233-6044

9515 Holy Cross LN
Breese, IL 62230-3618
Phone (618) 526-4511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.156469ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists LTD Current Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince May 21, 2022 Accepting new patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order Current Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince May 21, 2022 Accepting new patients
HSHS Holy Family Hospital Inc CurrentSince Dec 14, 2021 Accepting new patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third CurrentSince Oct 18, 2021 Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Jun 30, 2025 Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince May 7, 2022 Accepting new patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order CurrentSince Nov 7, 2021 Accepting new patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order CurrentSince Nov 7, 2021 Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince May 7, 2022 Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Jun 30, 2025 Accepting new patients
Prairie Cardiovascular Consultants LTD Cardiovascular Disease CurrentSince Sep 1, 2021 Accepting new patients
HSHS Holy Family Hospital Inc CurrentSince Dec 14, 2021 Accepting new patients

Locations

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

200 Health Care Dr
#1501
Greenville, IL 62246
Phone (616) 664-1230

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

3 Saint Elizabeth Blvd
Ste 2800
O Fallon, IL 62269
Phone (618) 233-6044

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

3051 Hollis Dr
Springfield, IL 62704
Phone (217) 523-5406

619 E Mason St
#4P57
Springfield, IL 62701

619 E Mason St
Ste 4
Springfield, IL 62701

619 E Mason St
Ste 4P57
Springfield, IL 62701

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

Interoperability endpoints

  • Direct secure messaging: vmulkareddy328438@ewd.direct.hshs.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1104207984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SAINT ELIZABETH BLVD STE 2800",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691282",
            "telephone_number": "618-233-6044",
            "fax_number": "833-769-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAINT ELIZABETH BLVD STE 2800",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691282",
            "telephone_number": "618-233-6044",
            "fax_number": "833-769-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lothrop Street UPMC Heart and Vascular Institute",
            "address_2": "S- 533 Scaife Hall",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15213",
            "country_code": "US",
            "telephone_number": "314-362-8065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULKAREDDY",
        "first_name": "VINAYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2015017257",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.156469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmulkareddy328438@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3 Saint Elizabeth Blvd Ste 2800",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622691282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

Verify at the official NPI Registry.