Individual provider Active NPI

Shyam Sunder Singareddy, M.D

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1891943650
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2007017230 Issued in MO
Practice address
3635 Vista Ave
Saint Louis University Hospital
Saint Louis, MO 63110-2539
Phone
(314) 577-8000
NPI assigned
Sep 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2007017230 MO Primary

Addresses

Primary practice location

3635 Vista Ave
Saint Louis University Hospital
Saint Louis, MO 63110-2539

Mailing address

1554 Swallow Dr
Saint Louis, MO 63144-1620
Phone (314) 681-9249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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
I20110809000160 SC Practitioner - Internal Medicine 6305015397 Reassigns benefits to 1 organization
I20140516002049 NC Practitioner - HospitalistPractitioner - Internal Medicine 6305015397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group North CarolinaGroup PAC ID 7719162254, 78 clinicians

Practice addresses (Care Compare)

566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone (252) 438-4143

615 Ridge Rd
Roxboro, NC 27573-4629
Phone (336) 599-2121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.67 of 100Reported as group
Quality
88.12
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007017230MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group North Carolina CurrentSince Feb 16, 2014 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jan 1, 2015 Accepting new patients
Apogee Medical Group South Carolina Internal Medicine PastSince Oct 8, 2023 Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

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 2

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": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1891943650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 SWALLOW DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441620",
            "telephone_number": "314-681-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVE",
            "address_2": "SAINT LOUIS UNIVERSITY HOSPITAL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-577-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGAREDDY",
        "first_name": "SHYAM",
        "middle_name": "SUNDER",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007017230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.