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MADHURAM LLC
NPI 1144899162
Internal Medicine in Saint Louis, MO

Active since June 23, 2021
3915 WATSON RD STE 100, SAINT LOUIS, MO 63109(314) 881-0300 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Madhuram Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADHURAM LLC (NPI 1144899162) is a healthcare organization registered as an internal medicine in Saint Louis, Missouri and active in the NPI registry since June 2021. The organization lists Kamlesh Vyas, Owner, as its authorized official.

NPPES Registry Identity

NPI1144899162
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMADHURAM LLC
Location Address3915 WATSON RD STE 100Saint Louis, MO 63109-1251
Mailing Address2168 White Lane DrChesterfield, MO 63017-7947
Phone(314) 881-0300
Organization SubpartNo
Authorized OfficialKamlesh VyasOwner · (314) 881-0300
Enumeration DateJune 23, 2021
NPPES CertifiedJune 23, 2021
✔ NPI 1144899162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3915 WATSON RD STE 100, Saint Louis, MO 63109
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madhuram Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Madhuram LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Allison Dolan-Boschert, NP
Nurse Practitioner
NPI 1659922946
3915 WATSON RD
Saint Louis, MO 63109
(314) 881-0300
✔ PECOS✔ Accepts MedicareSame address
Kamlesh Vyas, M.D,.
Internal Medicine
NPI 1679551378
3915 WATSON RD SUITE 100
Saint Louis, MO 63109
(314) 881-0300
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madhuram LLC's NPI number?

The NPI number for Madhuram LLC is 1144899162. It was assigned to this organization in the NPPES registry on June 23, 2021.

Where is Madhuram LLC located?

Madhuram LLC is located at 3915 Watson Rd Ste 100, Saint Louis, MO 63109. The listed phone number is (314) 881-0300.

What is Madhuram LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Madhuram LLC enrolled in Medicare?

Yes. Madhuram LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madhuram LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Madhuram LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Madhuram LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Madhuram LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madhuram LLC was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.