1. Home
  2. Directory
  3. Missouri
  4. St Louis
  5. Dermatology
  6. NPI Profile

MADHAVI KANDULA MD
NPI 1437247566
Dermatology in St Louis, MO

Active since October 11, 2006Opted out of Medicare · through Nov 19, 2027
845 NORTH NEW BALLAS COURT, SUITE 310, ST LOUIS, MO 63141(314) 692-0221(314) 692-0686 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Madhavi Kandula Md NPPES

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

MADHAVI KANDULA MD (NPI 1437247566) is an individual dermatology provider in St Louis, Missouri, licensed in Missouri (R8J49) and active in the NPI registry since October 2006. She has opted out of Medicare through November 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1437247566
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMADHAVI KANDULACredential: MD
Location Address845 NORTH NEW BALLAS COURT, SUITE 310St Louis, MO 63141-7148
Mailing Address845 North New Ballas Court, Suite 310St Louis, MO 63141-7148 · (314) 692-0221 · Fax (314) 692-0686
Phone(314) 692-0221
Fax(314) 692-0686
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437247566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MO · R8J49
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
845 NORTH NEW BALLAS COURT, St Louis, MO 63141
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE55699
Other199611384014Humana
Other177308Bcbsmo

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Madhavi Kandula Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 19, 2013 through November 19, 2027.

Opt-Out Effective DateNovember 19, 2013
Opt-Out In Effect ThroughNovember 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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 2

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

SIGNATURE HEALTHCARE FOUNDATION
Durable Medical Equipment & Medical Supplies
845 NORTH NEW BALLAS COURT, SUITE 40
SAINT LOUIS, MO 63141
St. Louis County (314) 872-1644
ORTHOTIC AND PROSTHETIC LAB, INC
Durable Medical Equipment & Medical Supplies
845 NORTH NEW BALLAS COURT, SUITE 320
CREVE COEUR, MO 63141
St. Louis County (314) 567-6110

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 Madhavi Kandula's NPI number?

The NPI number for Madhavi Kandula is 1437247566. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Madhavi Kandula located?

Madhavi Kandula practices at 845 North New Ballas Court Suite 310, St Louis, MO 63141. The listed phone number is (314) 692-0221.

What is Madhavi Kandula's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Madhavi Kandula enrolled in Medicare?

No. Madhavi Kandula has opted out of Medicare through November 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Madhavi Kandula was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.