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SOUMYA M NADELLA M.D.
NPI 1316350028
Internal Medicine - Endocrinology, Diabetes & Metabolism in Chesterfield, MO

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
224 S WOODS MILL RD STE 480S, CHESTERFIELD, MO 63017(366) 857-7446(314) 590-5957 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soumya M Nadella M.d. NPPES

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

SOUMYA M NADELLA M.D. (NPI 1316350028) is an individual endocrinology, diabetes & metabolism provider in Chesterfield, Missouri, licensed in Missouri (2019033228) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1316350028
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSOUMYA M NADELLACredential: M.D.
Location Address224 S WOODS MILL RD STE 480SChesterfield, MO 63017-3609
Mailing Address2186 Englewood TerChesterfield, MO 63017-7281
Phone(366) 857-7446
Fax(314) 590-5957
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 10, 2014
Last NPPES UpdateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1316350028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MO · 2019033228
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2014016507 (MO)
224 S WOODS MILL RD STE 480S, Chesterfield, MO 63017
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.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

Soumya M Nadella 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 ID3173826492
PECOS Enrollment IDI20190924000683
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
437 services210 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
175 services63 patients
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.
98 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 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.
40 services35 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services14 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
21 suppliers32 claims111 services$6.34 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers20 claims30 services$1.13 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers212 claims212 services$189.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

ENDOCRINE ASSOCIATES, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
224 S WOODS MILL RD STE 480S
CHESTERFIELD, MO 63017
St. Louis County (636) 685-7744
VAISHALIBEN AHIR MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
224 S WOODS MILL RD STE 480S
CHESTERFIELD, MO 63017
St. Louis County (636) 685-7744
KAREN J CHANG-CHEN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
224 S WOODS MILL RD STE 480S
CHESTERFIELD, MO 63017
St. Louis County (636) 685-7744

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 Soumya Nadella's NPI number?

The NPI number for Soumya Nadella is 1316350028. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Soumya Nadella located?

Soumya Nadella practices at 224 S Woods Mill Rd Ste 480S, Chesterfield, MO 63017. The listed phone number is (366) 857-7446.

What is Soumya Nadella's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Soumya Nadella enrolled in Medicare?

Yes. Soumya Nadella 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 Soumya Nadella accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Soumya Nadella 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 Soumya Nadella affiliated with any hospitals?

According to CMS data, Soumya Nadella is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Soumya Nadella was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.