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

Q: 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.

Q: What is Bodavula MD LLC's specialty?

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

Q: 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.

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: August 02, 2026.

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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 Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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.

What insurance does Bodavula MD LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan 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.