OrganizationActive
Bodavula MD LLC
NPI 1790183077 · Clinic/Center · Creve Coeur, MO
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
Established profile(74/100 index)
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
709 Turrentine Trl
Creve Coeur, MO 63141-6089
Phone: (914) 563-2943
Street-level locationGet directions
Mailing address
709 Turrentine Trl
Creve Coeur, MO 63141-6089
Registry dates
- Enumerated
- 2014-12-18
- Last updated
- 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.