DR. MANIDEEP DUTTULURI MD
NPI 1164912341
Internal Medicine in Festus, MO

Active since May 14, 2018PECOS EnrolledAccepts Medicare Assignment
1400 US HIGHWAY 61, FESTUS, MO 63028(636) 933-5337(636) 933-8090 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2025, Jul 8, 2025, Apr 25, 2024 and 3 more (6 updates tracked since 2018).

About Dr. Manideep Duttuluri Md NPPES

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

DR. MANIDEEP DUTTULURI MD (NPI 1164912341) is an individual internal medicine provider in Festus, Missouri, licensed in Missouri (2022025500) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and maintains a secondary practice location in Rolla.

NPPES Registry Identity

NPI1164912341
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MANIDEEP DUTTULURICredential: MD
Location Address1400 US HIGHWAY 61Festus, MO 63028-4100
Mailing Address1400 Us Highway 61 Ste H1521Chicago, IL 60677-0001 · (636) 933-5337 · Fax (636) 933-8090
Fax(636) 933-8090
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 14, 2018
Last NPPES UpdateSeptember 25, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
NPI 1164912341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 2022025500
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.

Also ListedHospitalistTaxonomy 208M00000X · License 2022025500 (MO), 036.160496 (IL)
1400 US HIGHWAY 61, Festus, MO 63028

Secondary Practice Location 1

Location 11000 W 10th StRolla, MO 65401-2905 · Phone (573) 458-8899 · Fax (573) 341-5611

Other Identifiers 1

Medicaid200112170MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Manideep Duttuluri Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224410220
PECOS Enrollment IDI20220808003093, I20220823000853
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
154 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
62 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services29 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260017
Location1000 W 10th StRolla, MO 65401 · Phelps County
Emergency services Birthing friendly

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
1400 US HIGHWAY 61, STE G38
FESTUS, MO 63028
Internal Medicine (Critical Care Medicine)
1400 US HIGHWAY 61
FESTUS, MO 63028
Family Medicine
1400 US HIGHWAY 61
FESTUS, MO 63028
Medicare Defined Swing Bed Unit
1400 US HIGHWAY 61
FESTUS, MO 63028
Radiology (Vascular & Interventional Radiology)
1400 US HIGHWAY 61
FESTUS, MO 63028
Nurse Anesthetist, Certified Registered
1400 US HIGHWAY 61
FESTUS, MO 63028
Internal Medicine
1400 US HIGHWAY 61
FESTUS, MO 63028
Physician Assistant
1400 US HIGHWAY 61
FESTUS, MO 63028

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 Manideep Duttuluri's NPI number?

The NPI number for Manideep Duttuluri is 1164912341. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Manideep Duttuluri located?

Manideep Duttuluri practices at 1400 Us Highway 61, Festus, MO 63028. The listed phone number is (636) 933-5337.

What is Manideep Duttuluri's specialty?

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

Is Manideep Duttuluri enrolled in Medicare?

Yes. Manideep Duttuluri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Manideep Duttuluri affiliated with any hospitals?

According to CMS data, Manideep Duttuluri is affiliated with St Joseph Medical Center, Phelps County Regional Medical Center and Mercy Hospital Jefferson.

When was this NPI record last updated?

The NPPES record for Manideep Duttuluri was last updated on September 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.