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VVASUDEVAN LLC
NPI 1659869857
Internal Medicine - Endocrinology, Diabetes & Metabolism in Saint Peters, MO

Active since April 24, 2018
5401 VETERANS MEMORIAL PKWY STE 200, SAINT PETERS, MO 63376(636) 206-6022(780) 328-3971 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2022, May 8, 2018, Apr 24, 2018 (3 updates tracked since 2018).

About Vvasudevan Llc NPPES

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

VVASUDEVAN LLC (NPI 1659869857) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Saint Peters, Missouri and active in the NPI registry since April 2018. The organization maintains a secondary practice location in O Fallon and lists Vijaya N Vasudevan, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1659869857
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameVVASUDEVAN LLC
Location Address5401 VETERANS MEMORIAL PKWY STE 200Saint Peters, MO 63376-1687
Mailing AddressPo Box 173Saint Charles, MO 63302-0173 · (314) 952-8009 · Fax (888) 511-1238
Phone(636) 206-6022
Fax(780) 328-3971
Organization SubpartNo
Authorized OfficialVijaya N VasudevanOwner/physician · (636) 206-6022
Enumeration DateApril 24, 2018
Last NPPES UpdateApril 7, 20223 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1659869857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
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.
5401 VETERANS MEMORIAL PKWY STE 200, Saint Peters, MO 63376
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Secondary Practice Location 1

Location 11002 Peruque Crossing Ct Ste 101O Fallon, MO 63366-2381 · Phone (636) 206-6022 · Fax (780) 328-3971

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vvasudevan Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vvasudevan LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vijaya Vasudevan, M.D.
Endocrinology
NPI 1265634513
5401 VETERANS MEMORIAL PKWY STE 200
Saint Peters, MO 63376
(636) 206-6022
✔ PECOS✔ Accepts MedicareSame address

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

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 Vvasudevan LLC's NPI number?

The NPI number for Vvasudevan LLC is 1659869857. It was assigned to this organization in the NPPES registry on April 24, 2018.

Where is Vvasudevan LLC located?

Vvasudevan LLC is located at 5401 Veterans Memorial Pkwy Ste 200, Saint Peters, MO 63376. The listed phone number is (636) 206-6022.

What is Vvasudevan LLC's specialty?

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

Is Vvasudevan LLC enrolled in Medicare?

Yes. Vvasudevan LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vvasudevan LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Vvasudevan LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vvasudevan LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Vvasudevan LLC 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.

When was this NPI record last updated?

The NPPES record for Vvasudevan LLC was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.