SANDHYA VALLEM M.D
NPI 1285002238
Family Medicine in Wentzville, MO

Active since September 08, 2015PECOS EnrolledAccepts Medicare Assignment
1032 CROSSWINDS CT, WENTZVILLE, MO 63385(844) 853-8937 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2020, Apr 20, 2017 (2 updates tracked since 2017).

About Sandhya Vallem M.d NPPES

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

SANDHYA VALLEM M.D (NPI 1285002238) is an individual family medicine provider in Wentzville, Missouri, licensed in Missouri (2020019639) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Hospital West, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1285002238
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANDHYA VALLEMCredential: M.D
Location Address1032 CROSSWINDS CTWentzville, MO 63385-4836
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 8, 2015
Last NPPES UpdateJuly 29, 20202 updates tracked since enumeration
NPPES CertifiedJuly 29, 2020
NPI 1285002238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 2020019639
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1032 CROSSWINDS CT, Wentzville, MO 63385

Accepted Insurance

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

Sandhya Vallem M.d 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 ID2567701550
PECOS Enrollment IDI20200803000858
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.

Hospital Affiliations CMS Care Compare

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

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63385 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
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.

Social Worker (Clinical)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Psychologist (Clinical)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Dentist
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Social Worker (Clinical)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Counselor (Professional)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Counselor (Professional)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Dental Hygienist
1032 CROSSWINDS CT
WENTZVILLE, MO 63385
Counselor (Mental Health)
1032 CROSSWINDS CT
WENTZVILLE, MO 63385

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 Sandhya Vallem's NPI number?

The NPI number for Sandhya Vallem is 1285002238. It was assigned to this individual provider in the NPPES registry on September 8, 2015.

Where is Sandhya Vallem located?

Sandhya Vallem practices at 1032 Crosswinds Ct, Wentzville, MO 63385. The listed phone number is (844) 853-8937.

What is Sandhya Vallem's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sandhya Vallem enrolled in Medicare?

Yes. Sandhya Vallem 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.

What insurance does Sandhya Vallem accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Sandhya Vallem 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.

Is Sandhya Vallem affiliated with any hospitals?

According to CMS data, Sandhya Vallem is affiliated with Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Sandhya Vallem was last updated on July 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.