| Dr Manideep Duttuluri, MD | |
|
1400 Us Highway 61, Festus, MO 63028-4100 | |
| (636) 933-5337 | |
| (636) 933-8090 |
| Full Name | Dr Manideep Duttuluri |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 15 Years |
| Location | 1400 Us Highway 61, Festus, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164912341 | NPI | - | NPPES |
| 200112170 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2022025500 (Missouri) | Primary |
| 208M00000X | Hospitalist | 2022025500 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 036.160496 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America-illinois Hospitalists, Llp | 3274765904 | 132 |
| Washington University | 9830008770 | 2782 |
| Entity Name | Fairview Heights Medical Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manideep Duttuluri, MD 1400 Us Highway 61 Ste H1521, Chicago, IL 60677-0001 Ph: (636) 933-5337 | Dr Manideep Duttuluri, MD 1400 Us Highway 61, Festus, MO 63028-4100 Ph: (636) 933-5337 |
Holly Ackermann, FNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1153 E Gannon Dr, Festus, MO 63028 Phone: 636-282-0380 Fax: 636-282-0384 | |
Dr. Sridevi Durga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1390 Us Highway 61 Ste N1500, Festus, MO 63028 Phone: 636-933-5055 Fax: 636-933-3609 | |
Karthik Iyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337 | |
Joanne M Waltman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900 Fax: 636-933-8017 | |
Swetha Edla, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337 | |
Dr. Manzoor Ahmad Tariq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1071 Airport Road, Festus, MO 63028 Phone: 636-931-7111 Fax: 636-937-7486 | |
Amit J Shah, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900 |