Babu R Dandamudi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35618 Issued in MO

Practice address

2900 Lemay Ferry Rd
Ste 104
Saint Louis, MO 63125-3900

Phone

(314) 525-1887

Fax

(314) 525-1898

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Locations

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.

• State of Missouri

  dba St. Louis Developmental Disabilities Treatment Center

  • General Practice Physician
  • Saint Charles, MO
  • NPI 1316991896
  Medicare reassignment NPD
• St. Anthony's Medical Center

  dba St. Anthony's Senior Services

  • Nursing Facility/Intermediate Care Facility
  • Saint Louis, MO
  • NPI 1760477434
  NPD
• State of Missouri

  dba Developmental Disabilities Behavior Services

  • Psychiatry Physician
  • Kansas City, MO
  • NPI 1386198448
  NPD
• Mercy Hospital South

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1568481984
  NPD (past)
• State of Missouri

  dba South County Habilitation Center

  • Intellectual Disabilities Intermediate Care Facility
  • Saint Louis, MO
  • NPI 1194933499
  NPD (past)
• State of Missouri

  dba St Charles Habilitation Center

  • Intellectual Disabilities Intermediate Care Facility
  • Saint Charles, MO
  • NPI 1992913297
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1386645430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LEMAY FERRY RD",
            "address_2": "STE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253900",
            "telephone_number": "314-525-1887",
            "fax_number": "314-525-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LEMAY FERRY RD",
            "address_2": "STE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631253900",
            "telephone_number": "314-525-1887",
            "fax_number": "314-525-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDAMUDI",
        "first_name": "BABU",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "35618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201184900",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Dampier
• Kaitlin Maree Damron, FNP-C
• Shehnaaz S Danak, LCSW
• Joshua Ryan Danback, CRNA
• Margaux Danby, MD, MS
• Raja Sekhar Dandamudi, MD
• Sofia Daneshyar, LCPC
• Mai Tu Dang, MD
• NA Le Dang, MD PHD
• Phung T Dang, M.D.

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.