Individual provider Active NPI

Veena Kunigal, MD

  • Radiation Oncology Physician
  • St. Louis, MO
National Provider Identifier
1669443248
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2005035771 Issued in MO
Practice address
Center for Radiation Medicine
3685 Vista Avenue
St. Louis, MO 63110-6311
Phone
(314) 577-8815
Fax
(314) 268-5113
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2005035771 MO Primary

Addresses

Primary practice location

Center for Radiation Medicine
3685 Vista Avenue
St. Louis, MO 63110-6311

Mailing address

Center for Radiation Medicine
3685 Vista Avenue
St. Louis, MO 63110
Phone (314) 577-8815

Other identifiers 1

IdentifierTypeStateIssuer
207584509MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vdivecha27628@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051209000112 MO Practitioner - Radiation Oncology 5698796399 Reassigns benefits to 1 organization
I20090515000430 IL Practitioner - Radiation Oncology 5698796399 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Radiological Group IncGroup PAC ID 8527966944, 105 clinicians

Practice addresses (Care Compare)

6836 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-9044

Hospital & facility affiliations

  • Anderson Hospital Hospital, Maryville, IL, CCN 140289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005035771MOMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Jun 1, 2019 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Jun 1, 2019 Accepting new patients
West County Radiological Group, Inc. Radiation Oncology CurrentSince Jan 1, 2025 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Radiation Oncology CurrentSince Jun 1, 2019 Accepting new patients
Mt Vernon Radiation Therapy Center CurrentSince Sep 1, 2021 Accepting new patients
Tapan Roy MD PC Radiation Oncology Past Accepting new patients
E. Sutphen MD LLC Radiation Oncology Past Accepting new patients
XRT IV, Inc. Past Accepting new patients
Sugar Creek Cancer Center L.L.C. Past Accepting new patients
XRT III, Inc Past Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

6836 State Route 162
Maryville, IL 62062
Phone (618) 277-5882

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

4115 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (618) 241-1827

4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864

1350 US Highway 61
Crystal Cty, MO 63028
Phone (636) 931-3655

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

10050 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1688

11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200

607 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4283

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Organizations & group practices 10

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.

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1669443248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTER FOR RADIATION MEDICINE",
            "address_2": "3685 VISTA AVENUE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-577-8815",
            "fax_number": "314-268-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTER FOR RADIATION MEDICINE",
            "address_2": "3685 VISTA AVENUE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631106311",
            "telephone_number": "314-577-8815",
            "fax_number": "314-268-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNIGAL",
        "first_name": "VEENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "2005035771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207584509",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vdivecha27628@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "vdivecha27628@direct-ehr-ssmhc.com",
            "address_1": "400 N Pleasant Ave",
            "city": "Centralia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628013056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "400 N Pleasant Ave",
            "city": "Centralia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "628013056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

Verify at the official NPI Registry.