SIRESHA KIRAN SAMUDRALA M.D.
NPI 1700840790
Physical Medicine & Rehabilitation in Saint Louis, MO

Active since April 14, 2006PECOS Enrolled
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125(314) 289-6314(314) 289-7037 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 23, 2025, Nov 19, 2025 (2 updates tracked since 2025).

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

NPI1700840790
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameSIRESHA KIRAN SAMUDRALACredential: M.D.
Location Address1 JEFFERSON BARRACKS RDSaint Louis, MO 63125-4181
Mailing Address1 Jefferson Barracks RdSaint Louis, MO 63125-4181 · (314) 652-4100
Fax(314) 289-7037
Sole ProprietorYes
Enumeration DateApril 14, 2006
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1700840790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in MO · 2003001132
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1 JEFFERSON BARRACKS RD, Saint Louis, MO 63125

Other Names 1

Professional Name (2)Siresha Kiran Samudrala M.d.

Secondary Practice Location 1

Location 111155 Dunn Rd Ste 109Saint Louis, MO 63136-6150 · Phone (314) 273-0149

Other Identifiers 1

Medicaid208749903MO

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).

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.

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.

Family Medicine
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
Nurse Practitioner (Primary Care)
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
Pharmacist
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
Social Worker (Clinical)
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
Physician Assistant (Medical)
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
Counselor (Addiction (Substance Use Disorder))
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
Registered Nurse (Case Management)
1 JEFFERSON BARRACKS RD
SAINT LOUIS, MO 63125
Health and Wellness Coach
1 JEFFERSON BARRACKS RD, WHOLE HEALTH DEPARTMENT
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.