NPI Details
DR. Sidharth Venkata Puram, MD is an otolaryngology in Saint Louis, MO with 12 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Sidharth Venkata Puram, MD NPI is 1568800183. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:2013
The provider's business location address is:
4921 PARKVIEW PL
DEPT OTOLARYNGOLOGY, STE 11A
SAINT LOUIS, MO
ZIP 63110-032
Phone: (314) 362-7509
Fax: (314) 362-7522
The NPI 1568800183 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
- Removal of lymph nodes, muscle, and tissue of neck (HCPCS:38724)
- Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (HCPCS:31615)
- Skin graft with repair of small blood vessel (HCPCS:15757)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Insertion of tube or tube in esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43241)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Partial removal of throat (HCPCS:42890)
- Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 6/5/2013 and was last updated on 4/25/2024.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Y00000X | Otolaryngology | | 2019011642 | MISSOURI | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 200068596 | MEDICAID | MISSOURI | |
