SANGITA ARADHYULA M.D.
NPI 1356551915
Internal Medicine - Critical Care Medicine in Saint Peters, MO
NPI Status: Active since May 23, 2007
Contact Information
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
Phone: (314) 317-0600
Fax: (314) 317-0606
- Individual
- Female
- Years of Experience 27
- Internal Medicine
- Critical Care Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About SANGITA ARADHYULA
This page provides the complete NPI Profile along with additional information for Sangita Aradhyula, an internist established in Saint Peters, Missouri with a medical specialization in Internal Medicine, focusing in critical care medicine and more than 27 years of experience. She graduated from Stanford University School Of Medicine in 1999. The healthcare provider is registered in the NPI registry with number 1356551915 assigned on May 2007. The practitioner's primary taxonomy code is 207RC0200X with license number 2007024549 (MO). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1356551915
- Provider Name
- SANGITA ARADHYULA M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 10 HOSPITAL DR SAINT PETERS, MO 63376
- Location Phone
- (314) 317-0600
- Location Fax
- (314) 317-0606
- Mailing Address
- 12101 WOODCREST EXECUTIVE DR SUITE 210 SAINT LOUIS, MO 63141
- Mailing Phone
- (314) 317-0600
- Mailing Fax
- (314) 317-0606
- Medical School Name
- STANFORD UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1999
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2007
- Last Update Date
- 03-10-2015
- Code Navigator
An internist like Sangita Aradhyula is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Critical Care Medicine
- Taxonomy Code
- 207RC0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2007024549
- License State
- MO
- Taxonomy Description
- An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 2007024549 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Catastrophic - EPO
- Balance by Medica Catastrophic - PPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite Saver Plus - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1356551915 | MEDICAID (05) | MO | |
| 991390060 | MEDICARE PIN (08) | MO |
Medicare Participation & PECOS Enrollment Status
Sangita Aradhyula is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Sangita Aradhyula is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8022182435
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080804000135
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Critical care, first 30-74 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 19 times for 13 patientsCritical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 332 times for 120 patientsFollow-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.
This service was performed 73 times for 50 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.07 for a new patient copayment and $24.59 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 63376 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $128.28
- Minimum New Patient Price $55.65
- Maximum New Patient Price $169.38
- Average New Patient Copayment $32.07
- Minimum New Patient Copayment $13.91
- Maximum New Patient Copayment $42.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.37
- Minimum Established Patient Price $17.76
- Maximum Established Patient Price $137.92
- Average Established Patient Copayment $24.59
- Minimum Established Patient Copayment $4.44
- Maximum Established Patient Copayment $34.48
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 5 | 6 | 5 | 5 | 1 | 9 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 10 | 5 | 2 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 2 + 9 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1356551915 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
SHARON GILLARDI CRNA
Nurse Anesthetist, Certified Registered
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
DR. DAVID A POGGEMEIER MD
Emergency Medicine
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
DR. RANDY S FATHEREE DO
Anesthesiology
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
DR. GERALD R. JOYCE M.D.
Anesthesiology
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
DR. KEVIN T. MINNIHAN M.D.
Anesthesiology
10 HOSPITAL DR
ST PETERS, MO
ZIP 63376
DR. ERIC J. W. BADER D.O.
Anesthesiology
10 HOSPITAL DR
ST PETERS, MO
ZIP 63376
DR. NANCY E. TRAN M.D.
Anesthesiology
10 HOSPITAL DR
ST PETERS, MO
ZIP 63376
TERRY L. WARD CRNA
Registered Nurse
10 HOSPITAL DR
ST PETERS, MO
ZIP 63376
DR. THOMAS PILLA MD
Radiology
(Diagnostic Radiology)
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
CHRISTOPHER PINKERTON P.A.-C
Physician Assistant
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
BC MISSOURI EMERGENCY PHYSICIANS, LLP
Emergency Medicine
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
JEFFREY SCHWARTZ M.D., FACEP
Emergency Medicine
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
MARY QUIGLEY P.A.-C
Physician Assistant
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
SCOTT LANDRY M.D.
Emergency Medicine
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
HEATHER WEBB M.D.
Emergency Medicine
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
BARNES JEWISH ST. PETERS HOSPITAL
Skilled Nursing Facility
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
MR. JONATHAN JUDE REED MD
Emergency Medicine
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
JOHN BRADLEY REINKER CRNA
Nurse Anesthetist, Certified Registered
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
KIRIM CHANG M.D.
Obstetrics & Gynecology
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
MS. JULIE M FERGUSON CRNA
Nurse Anesthetist, Certified Registered
10 HOSPITAL DR
SAINT PETERS, MO
ZIP 63376
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356551915, enumerated as an "individual" on May 23, 2007.
The provider is located at 10 HOSPITAL DR SAINT PETERS, MO 63376 and the phone number is (314) 317-0600.
Internal Medicine with taxonomy code 207RC0200X and a focus in Critical Care Medicine.
The provider might be accepting Accepts: Aetna CVS Health, Medica, Oscar Insurance Company,. Please consult your insurance carrier or call the provider to verify.
