Surbhi Valmiki, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1465 S Grand Blvd St
St Louis, MO 63104

Phone

(314) 268-4105

NPI assigned

Jun 12, 2023

Reactivated

Mar 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1205510153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 SOUTH GRAND BLVD, ROOM M260 SAINT LOUIS UNIVERSITY",
            "address_2": "SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-268-4105",
            "fax_number": "314-577-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 S GRAND BLVD ST",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-268-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALMIKI",
        "first_name": "SURBHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-03-07",
        "certification_date": "2023-06-12",
        "deactivation_date": "2024-01-17",
        "reactivation_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belen Vallecillo
• Jeanine Marie Valleroy, PH.D.; LCSW
• Theodore Francis Valley II, DC, BS, LMT
• Ryan J Vallo, PA
• Patrice Laura Vallot, MD
• Frank Horace Valone, MD
• Valor Mobility LLC
• Manouela Vesselinova Valtcheva, MD PHD
• Valudental Gravois LLC
• Valuecare Geriatrics 1 PC

• Student in an Organized Health Care Education/Training Program in St Louis, MO
• Providers in St Louis, MO by specialty
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.