NPIMap

Individual provider Active NPI

Rohan Devanpalli-Ramaya, M.D

  • Internal Medicine Physician
  • Creve Coeur, MO
National Provider Identifier
1396057535
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301097325 Issued in MI
Practice address
456 N New Ballas Rd Ste 348
Creve Coeur, MO 63141-6846
Phone
(314) 548-0265
Fax
(314) 548-6555
NPI assigned
Jul 3, 2010
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301097325 MI Primary

Addresses

Primary practice location

456 N New Ballas Rd Ste 348
Creve Coeur, MO 63141-6846

Mailing address

PO Box 78429
Saint Louis, MO 63178-8429
Phone (314) 548-0265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140108001653 MO Practitioner - Internal Medicine 6800024340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Kidney LLCGroup PAC ID 0143446617, 9 clinicians

Practice addresses (Care Compare)

2655 Muegge Rd
Saint Charles, MO 63303-3145
Phone (314) 720-0900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301097325MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Kidney, LLC CurrentSince Jul 21, 2022 Accepting new patients
Hypertension and Kidney Center of St. Louis, LLC PastSince Jul 21, 2022 Accepting new patients

Locations

2655 Muegge Rd
Saint Charles, MO 63303
Phone (314) 720-0900

2655 Muegge Rd
Ste 102
Saint Charles, MO 63303
Phone (636) 447-2490

456 N New Ballas Rd
Ste 348
Saint Louis, MO 63141
Phone (314) 548-0265

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

Interoperability endpoints

  • Direct secure messaging: rohan.devanpalli@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1396057535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78429",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631788429",
            "telephone_number": "314-548-0265",
            "fax_number": "314-548-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 348",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416846",
            "telephone_number": "314-548-0265",
            "fax_number": "314-548-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANPALLI-RAMAYA",
        "first_name": "ROHAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-03",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.