Bodavula MD LLC
NPI 1790183077 · Clinic/Center · Creve Coeur, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bodavula MD LLC is a Clinic/Center organization in Creve Coeur, MO (NPI 1790183077).
Provider details
- NPI number
- 1790183077
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Venkata Bodavula, Surgeon(914) 563-2943
- License
- 2010007564 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-12-18
- Last updated
- 2014-12-18
Frequently asked questions
- What is Bodavula MD LLC's NPI number?
- Bodavula MD LLC's National Provider Identifier (NPI) is 1790183077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bodavula MD LLC?
- Bodavula MD LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bodavula MD LLC located?
- Bodavula MD LLC's practice location on file with NPPES is 709 Turrentine Trl, Creve Coeur, MO 63141-6089.
- What is Bodavula MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Bodavula MD LLC is (914) 563-2943.
- Does Bodavula MD LLC accept Medicare?
- Bodavula MD LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bodavula MD LLC?
- The authorized official listed on Bodavula MD LLC's NPPES record is Venkata Bodavula, Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bodavula MD LLC's NPI active?
- Yes — Bodavula MD LLC's NPI (1790183077) is active in the NPPES registry as of the last update on 2014-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.