Individual provider Active NPI

Subrahmanyam Vadlamani, M.D.

  • General Practice Physician
  • Saint Louis, MO
National Provider Identifier
1558355214
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MDR5774 Issued in MO
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

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200598134MedicaidMO

Other names 1

  • Subra Vadlamani Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418000229 MO Practitioner - General Surgery 3072550466 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
R5771MOMDAnatomic Pathology & Clinical Pathology Physician
MDR5774MOMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Blossom Health Care CurrentSince May 11, 2024 Accepting new patients
United Wound Care, LLC CurrentSince Apr 6, 2025 Accepting new patients
Bridgeton Pain Group General Practice CurrentSince Dec 18, 2023 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.

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

Verify at the official NPI Registry.