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PRAVEENA UPPAL M.D.
NPI 1871586156
Internal Medicine - Pulmonary Disease in Saint Louis, MO

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
11155 DUNN RD, STE 315E, SAINT LOUIS, MO 63136(314) 355-7500(314) 355-3287 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Praveena Uppal M.d. NPPES

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

PRAVEENA UPPAL M.D. (NPI 1871586156) is an individual pulmonary disease provider in Saint Louis, Missouri, licensed in Missouri (2006024933) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains a secondary practice location in Bridgeton.

NPPES Registry Identity

NPI1871586156
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NamePRAVEENA UPPALCredential: M.D.
Location Address11155 DUNN RD, STE 315ESaint Louis, MO 63136-6150
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Phone(314) 355-7500
Fax(314) 355-3287
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 23, 2005
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1871586156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MO · 2006024933
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
11155 DUNN RD, Saint Louis, MO 63136
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Other Names 1

Professional Name (2)Praveena Uppal M.d.

Secondary Practice Location 1

Location 112255 De Paul Dr Ste 500Bridgeton, MO 63044-2515 · Phone (314) 209-5180

Other Identifiers 2

Other277060VA · Anthem
Medicaid005871557VA

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 ›

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

Praveena Uppal 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 ID4385740349
PECOS Enrollment IDI20070508000311
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 9

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.
206 services75 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services48 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.
58 services56 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.
48 services36 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
30 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63136 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.

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers84 claims85 services$29.85 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers30 claims30 services$77.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers25 claims75 services$27.40 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers39 claims231 services$14.76 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers27 claims149 services$10.99 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers68 claims69 services$43.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MIDWEST ACUTE CARE CONSULTANTS, PC
Internal Medicine (Critical Care Medicine)
11155 DUNN RD, STE: 315E
SAINT LOUIS, MO 63136
St. Louis County (314) 355-7500
MS. MICHELLE LYNN HEFFRON AHCNS
Clinical Nurse Specialist (Medical-Surgical)
11155 DUNN RD
SAINT LOUIS, MO 63136
St. Louis County (314) 355-3003
MARY WEST R.N.
Registered Nurse
11155 DUNN RD, STE 304E
SAINT LOUIS, MO 63136
St. Louis County (314) 741-0911
MS. CHRISTINE FRANCES KUEHNEL ACNP
Nurse Practitioner (Gerontology)
11155 DUNN RD, DIV SUR ACCS, STE 108N
SAINT LOUIS, MO 63136
St. Louis County (314) 362-5298
SUBASH JOSHI, MD
Specialist
11155 DUNN RD, SUITE 105N
SAINT LOUIS, MO 63136
St. Louis County (314) 355-0811
RICK HUMMEL MD PC
Internal Medicine
11155 DUNN RD, 201N
ST LOUIS, MO 63136
St. Louis County (314) 741-1400
ST LOUIS HEART AND VASCULAR P.C.
Clinic/Center
11155 DUNN RD, SUITE 304E
SAINT LOUIS, MO 63136
St. Louis County (314) 741-0911
DR. GEORGE M KICHURA M.D.
Internal Medicine (Interventional Cardiology)
11155 DUNN RD, SUITE 304E
SAINT LOUIS, MO 63136
St. Louis County (314) 741-0911

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 Praveena Uppal's NPI number?

The NPI number for Praveena Uppal is 1871586156. It was assigned to this individual provider in the NPPES registry on August 23, 2005. The provider is also known as Praveena Uppal M.D..

Where is Praveena Uppal located?

Praveena Uppal practices at 11155 Dunn Rd Ste 315E, Saint Louis, MO 63136. The listed phone number is (314) 355-7500.

What is Praveena Uppal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Praveena Uppal enrolled in Medicare?

Yes. Praveena Uppal 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 Praveena Uppal 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 Praveena Uppal 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 Praveena Uppal affiliated with any hospitals?

According to CMS data, Praveena Uppal is affiliated with Ssm St Joseph Health Center and Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Praveena Uppal was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.