VASUDHA MANTRAVADI (MD) – Allergy & Immunology Physician, NPI 1316491210
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
115 ALLERGY/IMMUNOLOGY in MO
Provider Addresses for VASUDHA MANTRAVADI (MD)
1 CHILDRENS PL CB 8116
SAINT LOUIS, MO 63110
Phone: (314) 454-2694
Fax: (314) 454-2515
Type: Mailing
14140 SOUTHWEST FWY STE 200
SUGAR LAND, TX 774783842
Phone: (281) 649-7000
Fax: (281) 240-0030
Type: Mailing
16545 SOUTHWEST FWY STE 100
SUGAR LAND, TX 774792919
Phone: (281) 649-7200
Fax: (281) 491-6704
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,614.
Total Amount is formed as General ($1,614) + Research ($0) + Ownership ($0) = $1,614.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: GENZYME CORPORATION ($292).
Total Amount
$1,614
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,614
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $292 |
| AERIN MEDICAL INC. | $278 |
| GlaxoSmithKline, LLC. | $249 |
| Medtronic, Inc. | $234 |
| Regeneron Healthcare Solutions, Inc. | $167 |
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: 2021-08-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210804002144 | I | Allergy/Immunology | TX | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 4,106 | 68 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 771 | 52 | $0 |
| 95117 | Professional service for multiple injections of allergen | 514 | 29 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 45 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 29 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | TX | |
| Internal Medicine, Allergy/Immunology | TX | |
| A L L E R G Y/ I M M U N O L O G Y | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| A L L E R G Y/ I M M U N O L O G Y | TX | |
| - | TX | |
| A L L E R G Y/ I M M U N O L O G Y | SD | |
| Allergy/Immunology, Internal Medicine | NC | |
| A L L E R G Y/ I M M U N O L O G Y | TX |
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