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BODAVULA MD LLC
NPI 1790183077
Clinic/Center in Creve Coeur, MO

Active since December 18, 2014
709 TURRENTINE TRL, CREVE COEUR, MO 63141(914) 563-2943 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bodavula Md Llc NPPES

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

BODAVULA MD LLC (NPI 1790183077) is a healthcare organization registered as a clinic/center in Creve Coeur, Missouri and active in the NPI registry since December 2014. The organization lists Venkata Kr Bodavula, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1790183077
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBODAVULA MD LLC
Location Address709 TURRENTINE TRLCreve Coeur, MO 63141-6089
Mailing Address709 Turrentine TrlCreve Coeur, MO 63141-6089 · (914) 563-2943
Phone(914) 563-2943
Organization SubpartNo
Authorized OfficialVenkata Kr BodavulaSurgeon · (914) 563-2943
Enumeration DateDecember 18, 2014
✔ NPI 1790183077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MO · 2010007564
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
709 TURRENTINE TRL, Creve Coeur, MO 63141
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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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bodavula MD LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Venkata Bodavula, MD
Hand Surgery
NPI 1275714784
5600 MEXICO RD STE 21
Saint Peters, MO 63376
(636) 373-9882
✔ PECOS✔ Accepts Medicare10 mi
Leah Jones, FNP
Nurse Practitioner
NPI 1932557964
2 PROGRESS POINT PKWY DEPT EMERGENCY MED
O Fallon, MO 63368
(314) 362-9123
✔ PECOS✔ Accepts Medicare15 mi

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 Bodavula MD LLC's NPI number?

The NPI number for Bodavula MD LLC is 1790183077. It was assigned to this organization in the NPPES registry on December 18, 2014.

Where is Bodavula MD LLC located?

Bodavula MD LLC is located at 709 Turrentine Trl, Creve Coeur, MO 63141. The listed phone number is (914) 563-2943.

What is Bodavula MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Bodavula MD LLC enrolled in Medicare?

Yes. Bodavula MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bodavula MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bodavula MD LLC, in Hand Surgery and Nurse Practitioner. 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 Bodavula MD 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 3 other insurers list Bodavula MD 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 Bodavula MD LLC was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.