Doctor profile · Federal record
Dr. Siresha Samudrala, M.D.
Physical Medicine & Rehabilitation Physician · Saint Louis, MO
- NPI 1700840790
- 20 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1 Jefferson Barracks RD
Saint Louis, MO 631254181
(314) 289-6314
fax (314) 289-7037 - Additional location
-
11155 Dunn RD Ste 109
Saint Louis, MO 631366150
(314) 273-0149
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- December 23, 2025
- Specialty taxonomy
- 208100000X — NUCC code
- State license (1)
- Missouri #2003001132
- Medicaid
- MO #208749903
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700840790. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $13.50 |
By nature of payment
Frequently asked questions
What is Dr. Siresha Samudrala's medical specialty?
Dr. Siresha Samudrala practices Physical Medicine & Rehabilitation Physician in Saint Louis, MO.
Where does Dr. Siresha Samudrala practice?
Dr. Siresha Samudrala practices at 1 Jefferson Barracks RD, Saint Louis, MO 631254181. Office phone: 3142896314.
What is Dr. Siresha Samudrala's NPI?
Dr. Siresha Samudrala's National Provider Identifier (NPI) is 1700840790, issued by NPPES.