S Battula MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2006009277 Issued in MO

Legal business name

S BATTULA MD LLC

Practice address

5700 Mexico Rd Ste 8
Saint Peters, MO 63376-1667

Phone

(636) 477-6464

Fax

(636) 410-9291

NPI assigned

Jul 29, 2006

Last updated

Jan 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Srinivas Battula, MDNPI 1093729311

Title

Owner

Phone

(636) 477-6464

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Lifetime Psychiatry LLC

  • Psychiatry Physician
  • Saint Peters, MO
  • NPI 1225613557

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Srinivas Battula, MD

  • Psychiatry Physician
  • Saint Peters, MO
  • NPI 1093729311
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1669487799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MEXICO RD STE 8",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761667",
            "telephone_number": "636-477-6464",
            "fax_number": "636-410-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MEXICO RD STE 8",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761667",
            "telephone_number": "636-477-6464",
            "fax_number": "636-410-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S BATTULA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "BATTULA",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-477-6464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2006009277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Rupp, MA, LPC
• Katherine Ann Rupp, PTA
• Michelle Lynne Ruppelt, D.C.
• Brendan Russell, PHARM D
• Jennifer N Rutkowski, PT
• Saaid Khojasteh MD & Associates
• Megan Sachs, DPT
• Sai Apothecary LLC (Excel Pharmacy)
• Sai Apothecary LLC (Excel Pharmacy)
• Saint Peters Eye Care Center LTD.

• Psychiatry Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.