Individual provider Active NPI

Sai Prashanth Babu Palepu, MD

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1558673152
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017011098 Issued in MO
Practice address
10018 Kennerly Rd.
St. Louis, MO 63128-2106
Phone
(314) 208-6000
NPI assigned
Jul 12, 2010
Last updated
May 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP1-0037472 TX
Family Medicine Physician 207Q00000X 2017011098 MO Primary
Hospitalist Physician 208M00000X 2017011098 MO
Hospitalist Physician 208M00000X 036132314 IL

Addresses

Primary practice location

10018 Kennerly Rd.
St. Louis, MO 63128-2106

Mailing address

21 Eastbrook Bend
Suite 18
Peachtree City, GA 30269-1546
Phone (678) 967-5599

Other practice location 1

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130920000142 IL Practitioner - Family PracticePractitioner - Hospitalist 3072757616 Reassigns benefits to 7 organizations
I20171121002915 WI Practitioner - Family Practice 3072757616 Reassigns benefits to 8 organizations
I20191212000345 MO Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospitalist 3072757616 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Impact Physician Group Missouri LLCGroup PAC ID 4082958574, 18 clinicians
Lafayette CountyGroup PAC ID 9436054772, 27 clinicians
Impact Physician Group Illinois LLCGroup PAC ID 3870838428, 7 clinicians
Wil Hospitalists LLCGroup PAC ID 7214213131, 7 clinicians
Upland Hills Health IncGroup PAC ID 3072415553, 97 clinicians

Practice addresses (Care Compare)

100 Medical PLZ
FL 5
Lake Saint Louis, MO 63367-1366
Phone (636) 755-6500

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1000

11101 N Sherman Rd
Edgerton, WI 53534-9002
Phone (608) 884-3441

12380 Depaul Dr
Bridgeton, MO 63044-2511
Phone (314) 447-9700

211 Bev Anderson Dr
Darlington, WI 53530-8801
Phone (608) 776-4466

3402 Anderson Healthcare Dr
Edwardsville, IL 62025-7712
Phone (618) 307-7900

5535 Nobel Dr
Fitchburg, WI 53711-4955
Phone (608) 398-1000

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 930-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0037472TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Statera Health Care, LLC CurrentSince Jul 1, 2019 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Lafayette County CurrentSince Oct 1, 2022 Accepting new patients
In Charge Medical Professionals LLC CurrentSince Jun 12, 2021 Accepting new patients
Edgerton Hospital and Health Services Inc. CurrentSince Jan 29, 2023 Accepting new patients
Hni Medical Services of Wisconsin, S.C. Family Medicine CurrentSince Jun 5, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Dec 13, 2019 Accepting new patients
Wil Hospitalists LLC CurrentSince Jun 1, 2025 Accepting new patients
Pinckneyville Community Hospital CurrentSince Jun 1, 2018 Accepting new patients
Washington County Hospital District CurrentSince Aug 1, 2017 Accepting new patients
Lafayette County CurrentSince Oct 1, 2022 Accepting new patients
Impact Physician Group, Illinois LLC CurrentSince Aug 10, 2021 Accepting new patients
Upland Hills Health, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Galen Inpatient Physicians PC. Hospitalist CurrentSince Dec 13, 2019 Accepting new patients
Upland Hills Health, Inc CurrentSince Dec 1, 2023 Accepting new patients
Cep America-Illinois Hospitalists, LLP Hospitalist CurrentSince Dec 15, 2020 Accepting new patients
Washington County Hospital District CurrentSince Aug 1, 2017 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Dec 15, 2020 Accepting new patients
Granite City Hospitalist Services LLC Hospitalist CurrentSince Apr 1, 2017 Accepting new patients
Pinckneyville Community Hospital CurrentSince Jun 1, 2018 Accepting new patients
Integritas Emergency Physician Services, LLC CurrentSince Jul 1, 2016 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients
Impact Physician Group, Missouri, LLC CurrentSince Oct 28, 2023 Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Jan 29, 2023 Accepting new patients
Edgerton Hospital and Health Services, Inc. Past Accepting new patients

Locations (25 of 29)

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

3402 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 307-7900

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

2920 Leverenz Rd
Naperville, IL 60564
Phone (630) 359-8835

705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

5383 State Route 154
Pinckneyville, IL 62274
Phone (618) 357-2131

115 E South St
Ste F
Plano, IL 60545
Phone (630) 551-3666

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

12380 De Paul Dr
Bridgeton, MO 63044
Phone (314) 447-9700

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

10018 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-4412

10114 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1633

1027 Bellevue Ave
Saint Louis, MO 63117
Phone (314) 645-6450

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800

4930 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 361-8700

211 Bev Anderson Dr
Darlington, WI 53530
Phone (608) 776-4466

731 Clay St
Darlington, WI 53530
Phone (608) 776-4497

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

Interoperability endpoints

  • Direct secure messaging: spalepu@yourcarecommunity.org
  • Direct secure messaging: spalepu338294@direct-ehr-ssmhc.com
  • Direct secure messaging: spalepu909528@direct.unitypoint.org

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1558673152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EASTBROOK BEND",
            "address_2": "SUITE 18",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691546",
            "telephone_number": "678-967-5599",
            "fax_number": "678-603-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10018 KENNERLY RD.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-208-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265360",
            "country_code": "US",
            "telephone_number": "618-257-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALEPU",
        "first_name": "SAI PRASHANTH",
        "middle_name": "BABU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP1-0037472",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2017011098",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2017011098",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036132314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 Memorial Dr",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.