Individual provider Active NPI

Choudary V Tarigopula, MD

  • Cardiovascular Disease Physician
  • Chesterfield, MO
National Provider Identifier
1558450718
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
103774 Issued in MO
Practice address
222 S Woods Mill Rd Ste 450S
Chesterfield, MO 63017-3625
Phone
(314) 205-2733
Fax
(314) 434-6476
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 103774 MO Primary

Addresses

Primary practice location

222 S Woods Mill Rd Ste 450S
Chesterfield, MO 63017-3625

Mailing address

222 S Woods Mill Rd Ste 450S
Chesterfield, MO 63017-3625
Phone (314) 205-2733

Other identifiers 1

IdentifierTypeStateIssuer
P00080017OtherRAILROAD

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
I20050923000108 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466486998 Reassigns benefits to 2 organizations
Practice locations: Chesterfield, MO

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Diagnostic Cardiology, LLCGroup PAC ID 5991739757, 8 clinicians

Practice addresses (Care Compare)

121 Saint Lukes Ctr Dr
Chesterfield, MO 63017-3518
Phone (314) 682-3628

232 S Woods Mell Rd
Chesterfield, MO 63017-3417

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Diagnostic Cardiology, LLC Cardiovascular Disease CurrentSince Jul 1, 2005 Accepting new patients
Physician Specialists of St Lukes LLC CurrentSince Dec 1, 2008 Accepting new patients
St. Lukes Medical Group Past Accepting new patients
Chesterfield Cardiology Care, LLC Cardiovascular Disease Past Accepting new patients
Emergency Physicians of St. Luke's, LLC Past Accepting new patients

Locations

121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278

222 S Woods Mill Rd
Ste 450S
Chesterfield, MO 63017
Phone (314) 205-2733

222 S Woods Mill Rd
#500
Chesterfield, MO 63017

121 Saint Lukes Center Dr
Ste 200
Chesterfield, MO 63017
Phone (314) 576-2475

222 S Woods Mill Rd
Ste 450
Chesterfield, MO 63017
Phone (314) 205-2733

222 S Woods Mill Rd
Ste 500N
Chesterfield, MO 63017
Phone (314) 205-6699

224 S Woods Mill Rd
Ste 450S
Chesterfield, MO 63017
Phone (314) 434-2454

222 S Woods Mill Rd
Ste 510
Chesterfield, MO 63017
Phone (414) 343-1500

222 S Woods Mill Rd
Ste 560N
Chesterfield, MO 63017
Phone (314) 205-2733

508 Old Smizer Mill Rd
Fenton, MO 63026
Phone (636) 343-5223

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Organizations & group practices 5

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 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1558450718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD STE 450S",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-205-2733",
            "fax_number": "314-434-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD STE 450S",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-205-2733",
            "fax_number": "314-434-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARIGOPULA",
        "first_name": "CHOUDARY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "103774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00080017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.