Individual provider Active NPI

Ramakrishna Prasad Vallurupalli, MD

  • Cardiovascular Disease Physician
  • Kirkwood, MO
National Provider Identifier
1114974938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R6A13 Issued in MO
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
R6A13MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.