Individual provider Active NPI

Sreelatha C. Varma, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1689624116
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2015023171 Issued in MO
Practice address
3863A Gravois Ave
Saint Louis, MO 63116-4657
Phone
(314) 888-0981
Fax
(314) 442-7794
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 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 MD428085 PA
Internal Medicine Physician 207R00000X 2015023171 MO Primary

Addresses

Primary practice location

3863A Gravois Ave
Saint Louis, MO 63116-4657

Mailing address

PO Box 740019
Atlanta, GA 30374-0019
Phone (312) 733-9730

Other practice location 1

St Louis VA Health Care System
1 Jefferson Barracks Dr
St Louis, MO 63125
Phone (314) 652-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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
I20031212000448 IL Practitioner - Internal Medicine 9133025711 Reassigns benefits to 1 organization
I20150721000954 MO Practitioner - Internal Medicine 9133025711 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015023171MOMDInternal Medicine Physician
MD428085PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of St. Luke's, LLC Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Fast Track Urgent Care LLC Current Accepting new patients
Vituity - Illinois Auc LLP Current Accepting new patients
Vituity - Illinois Auc LLP CurrentSince Oct 1, 2020 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Jul 12, 2024 Accepting new patients
Fast Track Medical LLC CurrentSince Oct 1, 2020 Accepting new patients
Fast Track Medical LLC CurrentSince Oct 1, 2020 Accepting new patients
Oak Street Health Physicians Group of Missouri, LLC Internal Medicine CurrentSince May 20, 2024 Accepting new patients
Physician Specialists of St Lukes LLC Internal Medicine Past Accepting new patients
Inpatient Consultants of Missouri Inc Internal Medicine Past Accepting new patients
Geisinger Clinic Selinsgrove Past Accepting new patients

Locations

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

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

1722 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 206-2665

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

2686 N Highway 67
Florissant, MO 63033
Phone (314) 436-9300

16659 E 23rd St S
Independence, MO 64055
Phone (816) 688-6000

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

5701 Chippewa St
Saint Louis, MO 63109
Phone (314) 921-7300

3843 Gravois Ave
Saint Louis, MO 63116
Phone (314) 888-0981

3863 Gravois Ave
#A
Saint Louis, MO 63116
Phone (314) 888-0981

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

Interoperability endpoints

  • Direct secure messaging: sreelatha.varma@oakstreethealth.gwaydirect.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1689624116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740019",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740019",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863A GRAVOIS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631164657",
            "telephone_number": "314-888-0981",
            "fax_number": "314-442-7794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "St Louis VA Health Care System",
            "address_2": "1 Jefferson Barracks Dr",
            "address_purpose": "LOCATION",
            "city": "St Louis",
            "state": "MO",
            "postal_code": "63125",
            "country_code": "US",
            "telephone_number": "314-652-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARMA",
        "first_name": "SREELATHA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD428085",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2015023171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.