SRIRAM VISSA MD
NPI 1558334573
Internal Medicine in Bridgeton, MO

Active since February 09, 2006PECOS Enrolled
12303 DE PAUL DR, BRIDGETON, MO 63044(314) 317-0600(314) 317-0606 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sriram Vissa Md NPPES

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

SRIRAM VISSA MD (NPI 1558334573) is an individual internal medicine provider in Bridgeton, Missouri, licensed in Missouri (2004016757) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558334573
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSRIRAM VISSACredential: MD
Location Address12303 DE PAUL DRBridgeton, MO 63044-2512
Mailing Address12101 Woodcrest Executive Dr, Suite 210Saint Louis, MO 63141-5047 · (314) 317-0600 · Fax (314) 317-0606
Fax(314) 317-0606
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJune 19, 2014
✔ NPI 1558334573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2004016757
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 2004016757 (MO)
12303 DE PAUL DR, Bridgeton, MO 63044

Other Names 1

Other Name (5)Vissa Sriram Md

Other Identifiers 3

Medicaid209220003MO
Medicaid1558334573IL
Medicare PIN921961390MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sriram Vissa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

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.
35 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-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.
32 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
73%66 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
12303 DE PAUL DR, RADIOLOGY DEPT
BRIDGETON, MO 63044
Physical Therapist
12303 DE PAUL DR
BRIDGETON, MO 63044
Nurse Practitioner (Adult Health)
12303 DE PAUL DR
BRIDGETON, MO 63044
Physical Therapist
12303 DE PAUL DR
BRIDGETON, MO 63044
Hospitalist
12303 DE PAUL DR
BRIDGETON, MO 63044
Internal Medicine (Critical Care Medicine)
12303 DE PAUL DR
BRIDGETON, MO 63044
Psychiatric Unit
12303 DE PAUL DR
BRIDGETON, MO 63044
Emergency Medicine
12303 DE PAUL DR
BRIDGETON, MO 63044

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 Sriram Vissa's NPI number?

The NPI number for Sriram Vissa is 1558334573. It was assigned to this individual provider in the NPPES registry on February 9, 2006. The provider is also known as Vissa Sriram MD.

Where is Sriram Vissa located?

Sriram Vissa practices at 12303 De Paul Dr, Bridgeton, MO 63044. The listed phone number is (314) 317-0600.

What is Sriram Vissa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sriram Vissa enrolled in Medicare?

Yes. Sriram Vissa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sriram Vissa was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.