Praveen Kelly Pedapudi

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

052E338009 Issued in MO

Practice address

9473 Olive Blvd Apt 128
Saint Louis, MO 63132-3197

Phone

(240) 688-5848

NPI assigned

Oct 14, 2026

Last updated

Oct 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1588569974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9473 OLIVE BLVD APT 128",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9473 OLIVE BLVD APT 128",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323197",
            "telephone_number": "240-688-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDAPUDI",
        "first_name": "PRAVEEN",
        "middle_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "052E338009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pecaut Chiropractic PC
• Linda Christine Pecaut, D.C.
• Erin Pechacek
• Rebecca Davis Peck, M.D.
• Judy Susan Peckham, LPC
• Venkata Praneeth Peddada, DO
• Rajeshwar Peddi, MD
• Blake Edwin Pedersen, D.O.
• Peder Pedersen
• Rebecca Pederson

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.