Shyam S Ivaturi, MD | |
12700 Southfork Rd Ste 280, Saint Louis, MO 63128-3287 | |
(314) 892-6565 | |
(314) 892-4828 |
Full Name | Shyam S Ivaturi |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 35 Years |
Location | 12700 Southfork Rd Ste 280, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881682904 | NPI | - | NPPES |
205374135 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 2001006095 (Missouri) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 2001006095 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital South | Saint louis, MO | Hospital |
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Pulmonology - St. Louis, Llc | 2365599925 | 22 |
Entity Name | Mercy Clinic Adult Critical Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730119421 PECOS PAC ID: 3779512041 Enrollment ID: O20050808000024 |
Entity Name | Mercy Clinic Pulmonology - St. Louis, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821137886 PECOS PAC ID: 2365599925 Enrollment ID: O20090416000577 |
Mailing Address | Practice Location Address |
---|---|
Shyam S Ivaturi, MD 12700 Southfork Rd Ste 280, Saint Louis, MO 63128-3287 Ph: (314) 892-6565 | Shyam S Ivaturi, MD 12700 Southfork Rd Ste 280, Saint Louis, MO 63128-3287 Ph: (314) 892-6565 |
Dr. Isik Turker, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Div Im Cardiology, Ste 8b, Saint Louis, MO 63110 Phone: 314-362-1291 Fax: 314-362-4278 | |
Conor Mccartney, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Faris Adam Bakeer, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Rehan Rais, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Nathan Farkas, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930 | |
Dr. Randy Olivier Laine, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Erin Leigh Dyer, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959 |