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Suseela Samudrala MD PC

Physical Medicine & Rehabilitation Physician in St Louis, MO · enumerated 2006 · authorized official Marina Mcroy, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629032081

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Registry record

Entity type Organization (Type 2)
Legal business name Suseela Samudrala MD PC
Other name <Unavail>
Practice address 11125 Dunn Road, Suite 311, St Louis, MO, 63136
Phone (314) 653-5730
Fax (314) 355-8899
Enumeration date Apr 13, 2006
Last updated in NPPES Apr 12, 2010

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License R8290 (MO) Primary

Authorized official

Name Marina Mcroy
Title Office Manager
Phone (314) 355-7880

Other identifiers

Identifier Type State Issuer
507527000 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Suseela Samudrala MD PC?
NPPES lists Marina Mcroy (Office Manager) as the authorized official for this organization.
What is the NPI number for Suseela Samudrala MD PC?
The NPI for Suseela Samudrala MD PC is 1629032081, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-12.