Active NPI
Vinaya Mulkareddy, M.D.
- Cardiovascular Disease Physician
- O'Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036.156469
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Saint Louis University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- HSHS St Elizabeth's Hospital
- St Josephs Hospital
- St Joseph's Hospital
- HSHS Holy Family Hospital Inc
- Sparta Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.156469 | IL | MD | Cardiovascular Disease Physician |
Practice roles
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
- 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.
-
- General Acute Care Hospital
- Greenville, IL
- NPI 1205850690
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1982714218
Cardiovascular Disease
-
dba St. Elizabeth's BHS Professional Services
- Addiction Medicine (Psychiatry & Neurology) Physician
- Belleville, IL
- NPI 1194736728
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
-
dba HSHS St. Joseph's Hospital -Highland
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
-
dba St. Anthony's Memorial Hospital
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1184606923
-
- Anatomic Pathology & Clinical Pathology Physician
- Springfield, IL
- NPI 1174564587
-
dba Holy Family Health Center
- Obstetrics & Gynecology Physician
- Greenville, IL
- NPI 1992889125
-
dba New Dimensions Reconstructive and Cosmetic Surgery
- Plastic Surgery Physician
- Belleville, IL
- NPI 1558556878
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, IL
- NPI 1205850690
-
- Critical Access Hospital
- Sparta, IL
- NPI 1548216476
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
dba Clinton County Rural Health
- Rural Health Clinic/Center
- Breese, IL
- NPI 1013002658
Hospital
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
-
dba HSHS St. Joseph's Hospital -Highland
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.