DR. SAI PRASHANTH BABU PALEPU MD
NPI 1558673152
Family Medicine in St. Louis, MO

Q: What is Sai Prashanth Palepu's NPI number?

The NPI number for Sai Prashanth Palepu is 1558673152. It was assigned to this individual provider in the NPPES registry on July 12, 2010.

Q: What is Sai Prashanth Palepu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 12, 2010PECOS Enrolled

10018 KENNERLY RD., ST. LOUIS, MO 63128(314) 208-6000 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2023, Apr 19, 2022, Oct 16, 2019 (3 updates tracked since 2019).

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About Dr. Sai Prashanth Babu Palepu Md NPPES

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

DR. SAI PRASHANTH BABU PALEPU MD (NPI 1558673152) is an individual family medicine provider in St. Louis, Missouri, licensed in Missouri (2017011098) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1558673152

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SAI PRASHANTH BABU PALEPUCredential: MD

Location Address10018 KENNERLY RD.St. Louis, MO 63128-2106

Mailing Address21 Eastbrook Bend, Suite 18Peachtree City, GA 30269-1546 · (678) 967-5599 · Fax (678) 603-9843

Phone(314) 208-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 12, 2010

Last NPPES UpdateMay 23, 20233 updates tracked since enumeration

NPPES CertifiedMay 23, 2023

✔ NPI 1558673152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MO · 2017011098✔ Licensed in TX · BP1-0037472

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 2017011098 (MO), 036132314 (IL)

10018 KENNERLY RD., St. Louis, MO 63128

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Secondary Practice Location 1

Location 14500 Memorial DrBelleville, IL 62226-5360 · Phone (618) 257-6220

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, MercyCare Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sai Prashanth Babu Palepu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072757616

PECOS Enrollment IDI20130920000142, I20171121002915, I20191212000345

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.

Medicare Billing Reassignments

Medicare enrollment records show Sai Prashanth Palepu reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Galen Inpatient Physicians PC.

5.2 mi

Hospitalist

1015 BOWLES AVE
Fenton, MO 63026

Reassigned Medicare billing, Missouri enrollment
93 clinicians in this Medicare group

NPI 1538714688 (636) 496-2000

Impact Physician Group, Missouri, LLC

17 mi

Internal Medicine

12380 DE PAUL DR
Bridgeton, MO 63044

Reassigned Medicare billing, Missouri enrollment
38 clinicians in this Medicare group

NPI 1962971531 (314) 447-9700

Cep America-Illinois Hospitalists, LLP

20 mi

Internal Medicine

4500 MEMORIAL DR
Belleville, IL 62226

Reassigned Medicare billing, Illinois enrollment
329 clinicians in this Medicare group

NPI 1841613403 (618) 233-7750

Washington County Hospital District

55 mi

Critical Access

705 S GRAND ST
Nashville, IL 62263

Reassigned Medicare billing, Illinois enrollment
33 clinicians in this Medicare group

NPI 1659321560 (618) 327-2201

Pinckneyville Community Hospital

63 mi

Rural Health

5383 STATE ROUTE 154
Pinckneyville, IL 62274

Reassigned Medicare billing, Illinois enrollment
46 clinicians in this Medicare group

NPI 1306818844 (618) 357-2187

Granite City Hospitalist Services LLC

82 mi

Hospitalist

2250 N ILLINOIS AVE
Carbondale, IL 62901

Reassigned Medicare billing, Illinois enrollment
88 clinicians in this Medicare group

NPI 1669926424 (618) 833-1691

Statera Health Care, LLC

113 mi

Emergency Medicine

100 DR WARREN TUTTLE DR
Harrisburg, IL 62946

Reassigned Medicare billing, Illinois enrollment
169 clinicians in this Medicare group

NPI 1043874449 (618) 833-1691

Impact Physician Group, Illinois LLC

239 mi

Internal Medicine

115 E SOUTH ST STE F
Plano, IL 60545

Reassigned Medicare billing, Illinois enrollment
13 clinicians in this Medicare group

NPI 1467920124 (630) 552-7166

Lafayette County

287 mi

Critical Access

211 BEV ANDERSON DRIVE
Darlington, WI 53530

Reassigned Medicare billing, Wisconsin enrollment
53 clinicians in this Medicare group

NPI 1114987054 (608) 776-4466

Upland Hills Health, Inc.

301 mi

Family Medicine

104 HIGH ST
Mineral Point, WI 53565

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1487745501 (Wisconsin)
166 clinicians in this Medicare group

NPI 1093299166 (608) 987-2346

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

670 services166 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

82 services79 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

77 services73 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.

48 services29 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.

17 services11 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140289

Location6800 State Route 162Maryville, IL 62062 · Madison County

Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260200

Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County

Emergency services Birthing friendly

Memorial Hospital Of Lafayette County

Critical Access Hospitals · Darlington, WI

OwnershipVoluntary non-profit - Other

CMS Certification Number521312

Location800 Clay StDarlington, WI 53530 · Lafayette County

Emergency services

Edgerton Hospital And Health Services

Critical Access Hospitals · Edgerton, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521319

Location11101 N Sherman RoadEdgerton, WI 53534 · Rock County

Emergency services

Upland Hills Health

Critical Access Hospitals · Dodgeville, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521352

Location800 Compassion WayDodgeville, WI 53533 · Iowa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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

$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…

99%122 patients4/55-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.

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 Sai Prashanth Palepu's NPI number?

The NPI number for Sai Prashanth Palepu is 1558673152. It was assigned to this individual provider in the NPPES registry on July 12, 2010.

Where is Sai Prashanth Palepu located?

Sai Prashanth Palepu practices at 10018 Kennerly Rd., St. Louis, MO 63128. The listed phone number is (314) 208-6000.

What is Sai Prashanth Palepu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sai Prashanth Palepu enrolled in Medicare?

Yes. Sai Prashanth Palepu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sai Prashanth Palepu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sai Prashanth Palepu reassigns Medicare benefits to 14 organizations: Galen Inpatient Physicians PC. (Fenton, MO), Impact Physician Group, Missouri, LLC (Bridgeton, MO), Cep America-Illinois Hospitalists, LLP (Belleville, IL), Washington County Hospital District (Nashville, IL), Pinckneyville Community Hospital (Pinckneyville, IL) and 9 more organizations, listed in the Medicare section above. Each 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 Sai Prashanth Palepu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sai Prashanth Palepu accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, MercyCare Health Plans and Oscar Insurance Company list Sai Prashanth Palepu 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 Sai Prashanth Palepu affiliated with any hospitals?

According to CMS data, Sai Prashanth Palepu is affiliated with Anderson Hospital, Ssm St Joseph Hospital West, Memorial Hospital Of Lafayette County, Edgerton Hospital And Health Services and Upland Hills Health.

When was this NPI record last updated?

The NPPES record for Sai Prashanth Palepu was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.