Active NPI
Subrahmanyam Vadlamani, M.D.
- General Practice Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MDR5774
- Practice address
- 7345 Watson Rd
Saint Louis, MO 63119-4405 - Phone
- (314) 752-7100
- Fax
- (314) 752-3284
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MDR5774 | MO | Primary |
Addresses
Primary practice location
7345 Watson Rd
Saint Louis, MO 63119-4405
Mailing address
7345 Watson Rd
Saint Louis, MO 63119-4405
Phone (314) 752-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200598134 | Medicaid | MO |
Other names 1
- Subra Vadlamani
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1964
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11520 Saint Charles Rock Rd
Suite 201
Bridgeton, MO 63044-2732
Phone (314) 526-6093
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5771 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
| MDR5774 | MO | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Blossom Health Care | Current | Accepting new patients | |
| United Wound Care, LLC | Current | Accepting new patients | |
| Bridgeton Pain Group | General Practice | Current | Accepting new patients |
Locations
7742 N Kendall Dr
Miami, FL 33156
Phone (305) 274-2403
930 NE Duncan Rd
Blue Springs, MO 64014
Phone (816) 229-6677
11520 Saint Charles Rock Rd
Ste 201
Bridgeton, MO 63044
Phone (314) 526-6093
12125 Woodcrest Executive Dr
Ste 110
Saint Louis, MO 63141
Phone (314) 275-8599
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.
-
- General Practice Physician
- Bridgeton, MO
- NPI 1114626462
-
- Wound Care Registered Nurse
- Saint Louis, MO
- NPI 1124893888
-
- Geriatric Medicine (Internal Medicine) Physician
- Macon, GA
- NPI 1427810480
MO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1558355214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7345 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631194405",
"telephone_number": "314-752-7100",
"fax_number": "314-752-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631194405",
"telephone_number": "314-752-7100",
"fax_number": "314-752-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADLAMANI",
"first_name": "SUBRAHMANYAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "MDR5774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200598134",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUBRA",
"last_name": "VADLAMANI",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.