NPIMap

Individual provider Active NPI

Vijay Kannuthurai, MD

  • Rheumatology Physician
  • Saint Louis, MO
National Provider Identifier
1669967527
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2023002174 Issued in MO
Practice address
13100 Manchester Rd Ste 70
Saint Louis, MO 63131-1703
Phone
(314) 492-2323
Fax
(314) 582-1010
NPI assigned
Jun 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2018019732 MO
Rheumatology Physician 207RR0500X 2023002174 MO Primary

Addresses

Primary practice location

13100 Manchester Rd Ste 70
Saint Louis, MO 63131-1703

Mailing address

13100 Manchester Rd Ste 70
Saint Louis, MO 63131-1703
Phone (314) 492-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620003010 MO Practitioner - Rheumatology 7315348901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Mississippi School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Rheumatology LLCGroup PAC ID 7719232933, 6 clinicians

Practice addresses (Care Compare)

13100 Manchester Rd
Suite 70
Saint Louis, MO 63131-1703
Phone (314) 983-9898

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

Merit-based Incentive Payment System (MIPS)

Final score
69.07 of 100Reported as group
Quality
61.67
Improvement activities
40
Cost
48.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018019732MOMDInternal Medicine Physician
2023002174MOMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West County Rheumatology, LLC Rheumatology CurrentSince Jul 10, 2023 Accepting new patients
American Arthritis & Rheumatology Associates - Mo LLC Rheumatology Past Accepting new patients
Ozarks Medical Center Rheumatology Past Accepting new patients

Locations

13100 Manchester Rd
Saint Louis, MO 63131

13100 Manchester Rd
Ste 70
Saint Louis, MO 63131
Phone (314) 492-2323

13100 Manchester Rd
Ste 85
Saint Louis, MO 63131
Phone (314) 983-9898

Interoperability endpoints

  • Direct secure messaging: vkannuthurai454485@direct-ehr-ssmhc.com

Organizations & group practices 3

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 7

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": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1669967527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 MANCHESTER RD STE 70",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311703",
            "telephone_number": "314-492-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 MANCHESTER RD STE 70",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311703",
            "telephone_number": "314-492-2323",
            "fax_number": "314-582-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNUTHURAI",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-24",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2018019732",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "2023002174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.