SIRESHA KIRAN SAMUDRALA M.D.
NPI 1700840790
Physical Medicine & Rehabilitation in Saint Louis, MO
About Siresha Kiran Samudrala M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIRESHA KIRAN SAMUDRALA M.D. (NPI 1700840790) is an individual physical medicine & rehabilitation provider in Saint Louis, Missouri, licensed in Missouri (2003001132) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Siresha Kiran Samudrala M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
SAINT LOUIS, MO 63125
ST LOUIS, MO 63125
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 Siresha Samudrala's NPI number?
The NPI number for Siresha Samudrala is 1700840790. It was assigned to this individual provider in the NPPES registry on April 14, 2006. The provider is also known as Siresha Kiran Samudrala M.D..
Where is Siresha Samudrala located?
Siresha Samudrala practices at 1 Jefferson Barracks Rd, Saint Louis, MO 63125. The listed phone number is (314) 289-6314.
What is Siresha Samudrala's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Siresha Samudrala enrolled in Medicare?
Yes. Siresha Samudrala is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Siresha Samudrala was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.