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SIVARAM PRABHUJI MUPPANENI M.D
NPI 1770071706
Internal Medicine in St. Louis, MO

Active since April 25, 2018PECOS EnrolledAccepts Medicare Assignment
SSM ST MARY'S HOSPITAL, 6420 CLAYTON ROAD, ST. LOUIS, MO 63117(314) 768-8778 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2022, Nov 28, 2018, Apr 25, 2018 (3 updates tracked since 2018).

About Sivaram Prabhuji Muppaneni M.d NPPES

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

SIVARAM PRABHUJI MUPPANENI M.D (NPI 1770071706) is an individual internal medicine provider in St. Louis, Missouri, licensed in Kansas (0444982) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension Via Christi Hospitals Wichita, Inc., and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770071706
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSIVARAM PRABHUJI MUPPANENICredential: M.D
Location AddressSSM ST MARY'S HOSPITAL, 6420 CLAYTON ROADSt. Louis, MO 63117
Mailing Address32-186, VasavinagarAddanki, Prakasam (dst), ANDHRA PRADESH 52320
Phone(314) 768-8778
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 25, 2018
Last NPPES UpdateNovember 3, 20223 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
✔ NPI 1770071706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 0444982
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
SSM ST MARY'S HOSPITAL, St. Louis, MO 63117
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sivaram Prabhuji Muppaneni M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173928959
PECOS Enrollment IDI20210817000804
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.

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 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.
628 services201 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.
149 services141 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.
94 services93 patients
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.
43 services25 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services26 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170122
Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RUSHIN MAHESH PATEL MD
Student in an Organized Health Care Education/Training Program
SSM ST MARY'S HOSPITAL, 6420 CLAYTON ROAD
ST. LOUIS, MO 63117
St. Louis County (314) 768-8778

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 Sivaram Muppaneni's NPI number?

The NPI number for Sivaram Muppaneni is 1770071706. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Sivaram Muppaneni located?

Sivaram Muppaneni practices at Ssm St Mary's Hospital 6420 Clayton Road, St. Louis, MO 63117. The listed phone number is (314) 768-8778.

What is Sivaram Muppaneni's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sivaram Muppaneni enrolled in Medicare?

Yes. Sivaram Muppaneni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sivaram Muppaneni accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Sivaram Muppaneni 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 Sivaram Muppaneni affiliated with any hospitals?

According to CMS data, Sivaram Muppaneni is affiliated with Ascension Via Christi Hospitals Wichita, Inc..

When was this NPI record last updated?

The NPPES record for Sivaram Muppaneni was last updated on November 3, 2022. 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.