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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Siresha Kiran Samudrala M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Siresha Samudrala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 611 clinicians in this Medicare group
Morton Grove, IL 60053
- Reassigned Medicare billing, Missouri enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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
SAINT 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.
Which organizations bill Medicare for Siresha Samudrala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siresha Samudrala reassigns Medicare benefits to 2 organizations: Physician Groups Lc (Saint Louis, MO) and Np Health Of Mo LLC (Morton Grove, IL). 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 Siresha Samudrala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 10 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.