Active NPI
Ramakrishna Prasad Vallurupalli, MD
- Cardiovascular Disease Physician
- Kirkwood, MO
National Provider Identifier
1114974938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R6A13
- Practice address
- 525 Couch Ave
Kirkwood, MO 63122-5536 - Phone
- (314) 966-1500
- Fax
- (314) 966-1681
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R6A13 | MO | Primary |
Addresses
Primary practice location
525 Couch Ave
Kirkwood, MO 63122-5536
Mailing address
1836 Lackland Hill Pkwy
Attention: Credentialing Department
Saint Louis, MO 63146-3572
Phone (314) 989-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6A13 | MO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Cardiology, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Advanced Medical Testing Systems, Inc. | Past | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mammography Clinic/Center
- Florissant, MO
- NPI 1578677142
-
- Cardiovascular Disease Physician
- Fenton, MO
- NPI 1942493317
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114974938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 LACKLAND HILL PKWY",
"address_2": "ATTENTION: CREDENTIALING DEPARTMENT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463572",
"telephone_number": "314-989-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 COUCH AVE",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631225536",
"telephone_number": "314-966-1500",
"fax_number": "314-966-1681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLURUPALLI",
"first_name": "RAMAKRISHNA",
"middle_name": "PRASAD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R6A13",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.