SANDHYA VALLEM M.D
NPI 1285002238
Family Medicine in Wentzville, MO
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 Health Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Sandhya Vallem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wentzville, MO 63385
- Reassigned Medicare billing, Missouri enrollment
- 968 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm St Joseph Health Center
Acute Care Hospitals · Saint Charles, MOSsm St Joseph Hospital West
Acute Care Hospitals · Lake Saint Louis, MOPhysician 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.
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.
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.
Which organization bills Medicare for Sandhya Vallem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandhya Vallem reassigns Medicare benefits to Compass Health, Inc. (Wentzville, MO). The 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 Sandhya Vallem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandhya Vallem accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma 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 Health Center and 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Sandhya Vallem, M.D · NPI 1285002238
Family Medicine physician in Wentzville, Missouri. Individual provider, active in the CMS NPPES registry since September 8, 2015.
## Identity
- **NPI:** 1285002238 (Entity type: Individual)
- **Enumerated:** September 8, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2020019639 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1032 CROSSWINDS CT, Wentzville, MO 63385-4836
- **Phone:** (844) 853-8937
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Compass Health, Inc. (NPI 1861618308, Wentzville, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1285002238) · Data from the CMS NPPES public registry.