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

Q: 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.

Q: What is Manideep Duttuluri's specialty?

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

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: October 18, 2026.

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

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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

Phone(636) 933-5337

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

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Secondary Practice Location 1

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

Other Identifiers 1

Medicaid200112170MO

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, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Manideep Duttuluri reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic Adult Hospitalists- Jefferson, LLC

Same address

Internal Medicine

1400 US HIGHWAY 61
Festus, MO 63028

Reassigned Medicare billing, Missouri enrollment
299 clinicians in this Medicare group

NPI 1083052492 (314) 364-4200

Fairview Heights Medical Group, Sc

31 mi

Internal Medicine

670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141

Reassigned Medicare billing, Illinois enrollment
507 clinicians in this Medicare group

NPI 1811392210 (314) 996-7644

Physician Groups Lc

31 mi

Multi-Specialty

670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment
611 clinicians in this Medicare group

NPI 1285664268 (314) 996-7644

Washington University

31 mi

Multi-Specialty

660 S EUCLID AVE
Saint Louis, MO 63110

Reassigned Medicare billing, Missouri enrollment
1,133 clinicians in this Medicare group

NPI 1992746903 (314) 747-5192

Cep America-Illinois Hospitalists, LLP

32 mi

Internal Medicine

4500 MEMORIAL DR
Belleville, IL 62226

Reassigned Medicare billing, Illinois enrollment
329 clinicians in this Medicare group

NPI 1841613403 (618) 233-7750

Phelps County Regional Medical Center

68 mi

Rural Health

1000 N JEFFERSON STREET
St. James, MO 65559

Reassigned Medicare billing, Missouri enrollment
195 clinicians in this Medicare group

NPI 1457799520 (573) 265-8840

Pcrmc Medical Group, Inc

76 mi

Clinic/Center

1050 W 10TH ST
Rolla, MO 65401

Reassigned Medicare billing, Missouri enrollment
145 clinicians in this Medicare group

NPI 1124237227 (573) 364-9000

Trinity Medical Staffing LLC

Internal Medicine

100 DR WARREN TUTTLE DR
Harrisburg, IL 62946

Reassigned Medicare billing, Illinois enrollment
60 clinicians in this Medicare group

NPI 1770103426 (618) 253-7671

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

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 4

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

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260077

Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis 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.

MERCY HEALTH SERVICES, LLC

Pharmacy (Community/Retail Pharmacy)

1400 US HIGHWAY 61, STE G38
FESTUS, MO 63028

Jefferson County (636) 933-1600

KARTHIK IYER MD

Internal Medicine (Critical Care Medicine)