VANI PACHALLA (M.D.) – Family Medicine Physician, NPI 1063418382

VANI PACHALLA (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 103106 (MO). The NPI Number for VANI PACHALLA (M.D.) is 1063418382

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
VANI PACHALLA (M.D.)
NPI
1063418382
Phone
(314) 814-8531
Address
1717 BIDDLE ST
Enumeration Date
22 June 2005
Last Update Date
22 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3148148700
Graduation Year
1990 (36 years ago)
PAC ID
2264513878
Group Practice PAC ID
1052386919
Professional Enrollment ID
I20100320000115
Address ID
MO631042700SA2220XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for VANI PACHALLA (M.D.)

  • 1717, Biddle Street, Carr Square, City of Saint Louis, Missouri, 63106, United States

    SAINT LOUIS, MO 631063454

    Phone: (314) 814-8531

    Fax: (314) 814-8542

    Type: Mailing

  • 2220, Lemp Avenue, Benton Park, City of Saint Louis, Missouri, 63104, United States

    SAINT LOUIS, MO 631042700

    Phone: (314) 814-8531

    Fax: (314) 814-8542

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $432.

Total Amount is formed as General ($432) + Research ($0) + Ownership ($0) = $432.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Gilead Sciences, Inc. ($136).

Total Amount

$432

General + Research + Ownership

Payments

20

Total payment records

General Amount

$432

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100320000115IFamily PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052386919View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMO
Family PracticeMO
Family PracticeMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Clinical Social WorkerMO
C H I R O P R A C T I CMO
Clinical Social WorkerMO
Family PracticeTX
P S Y C H I A T R YTX
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for VANI PACHALLA (M.D.)?
VANI PACHALLA (M.D.) — NPI 1063418382 — is the standard way to identify this listing.
Is VANI PACHALLA (M.D.) still practicing?
VANI PACHALLA (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes VANI PACHALLA (M.D.)?
For research purposes, treat VANI PACHALLA (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does VANI PACHALLA (M.D.) list a practice location?
Patients near Saint Louis, Missouri may find VANI PACHALLA (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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