| Sai Siva Ram Guduru, MD | |
|
5325 Faraon St, Saint Joseph, MO 64506-3488 | |
| (816) 271-6406 | |
| (816) 271-7986 |
| Full Name | Sai Siva Ram Guduru |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 12 Years |
| Location | 5325 Faraon St, Saint Joseph, 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 |
|---|---|---|---|
| 1700316528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2020019634 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 2020019634 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
| Mosaic Medical Center Albany | Albany, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mosaic Medical Center - Maryville | 3678813896 | 73 |
| Northwest Medical Center Association Inc | 5496641896 | 33 |
| Heartland Regional Medical Center | 6709772767 | 343 |
| Entity Name | Northwest Medical Center Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124164322 PECOS PAC ID: 5496641896 Enrollment ID: O20040224000204 |
| Entity Name | Heartland Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
| Entity Name | Mosaic Medical Center - Maryville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Sai Siva Ram Guduru, MD 5301 Faraon St Ste 120, Saint Joseph, MO 64506-3512 Ph: (816) 271-6000 | Sai Siva Ram Guduru, MD 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6406 |
Dr. Andre Joel Arsenault, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6406 Fax: 816-271-7986 | |
Robert C Clark, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Heartland Rd, Ste 3800, Saint Joseph, MO 64506 Phone: 816-671-4800 Fax: 816-233-4021 | |
Bradley R Dyer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Ms 1020 Division Of General And Geriatric Medicine Univ, Saint Joseph, MO 64506 Phone: 816-271-6406 | |
Gita G Sprague, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507 Phone: 816-271-1350 Fax: 816-271-1355 | |
Federico Rivas-gotz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507 Phone: 816-271-1350 Fax: 816-271-1355 | |
Dr. Vijay Kanakadandi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 802 N Riverside Rd Ste 220, Saint Joseph, MO 64507 Phone: 816-271-6155 | |
Dr. Michael John Lunski, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 N Riverside Rd Ste 200, Saint Joseph, MO 64507 Phone: 816-271-1301 Fax: 816-271-1302 |