Individual provider Active NPI

Sridevi Durga, M.D.

  • Interventional Cardiology Physician
  • Festus, MO
National Provider Identifier
1013175389
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2016022748 Issued in MO
Practice address
1390 US Highway 61 Ste N1500
Festus, MO 63028-4137
Phone
(636) 933-5055
Fax
(636) 933-3609
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 2016022748 MO Primary

Addresses

Primary practice location

1390 US Highway 61 Ste N1500
Festus, MO 63028-4137

Mailing address

1390 US Highway 61 Ste N1500
Festus, MO 63028-4137
Phone (636) 933-5055

Other practice location 1

509 W Pine St
Farmington, MO 63640-1439
Phone (636) 933-5055

Other identifiers 2

IdentifierTypeStateIssuer
200034795MedicaidMO
1013175389MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160711000525 MO Practitioner - Interventional Cardiology 9234448960 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians
Mercy Clinic Heart and Vascular LLCGroup PAC ID 8820016207, 112 clinicians

Practice addresses (Care Compare)

1000 E Primrose St
Springfield, MO 65807-5154
Phone (417) 269-6000

1000 E Primrose St
Suite 360
Springfield, MO 65807-5293
Phone (417) 269-4037

1011 E Montclair St
Springfield, MO 65807-5075
Phone (417) 269-1010

1115 E Primrose St
Springfield, MO 65807-5146

1390 US Hwy 61
Suite N1500
Festus, MO 63028-4137
Phone (636) 933-5055

3525 S National Ave
Springfield, MO 65807-7310
Phone (417) 269-6000

3525 S National Ave St
Springfield, MO 65807-7315

3535 S National Ave
Springfield, MO 65807-7310
Phone (417) 269-9800

3545 S National Ave
Meyer Telehealth Ortho and Rehab
Springfield, MO 65807-7310
Phone (417) 269-5500

3800 S National Ave
Suite 700
Springfield, MO 65807-5279
Phone (417) 269-8817

3800 S National Ave
Suite Ll100
Springfield, MO 65807-5276
Phone (417) 269-7784

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

3801 S National Ave
Suite 130
Springfield, MO 65807-6162
Phone (417) 730-7160

3850 S National Ave
Suite 200
Springfield, MO 65807-5287
Phone (417) 269-5257

3850 S National Ave
Suite 500
Springfield, MO 65807-5292

960 E Walnut Lawn St
Springfield, MO 65807-7506
Phone (417) 225-9235

Hospital & facility affiliations

  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Parkland Health Center Hospital, Farmington, MO, CCN 260163
  • Ste Genevieve County Memorial Hospital Hospital, Sainte Genevieve, MO, CCN 261330
  • Washington County Memorial Hospital Hospital, Potosi, MO, CCN 261308

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (7 of 13)

OrganizationSpecialtyStatusNew patients
Lester E. Cox Medical Centers Current Accepting new patients
Texas County Memorial Hospital CurrentSince Apr 18, 2018 Accepting new patients
Mercy Clinic Heart and Vascular, LLC CurrentSince Aug 1, 2025 Accepting new patients
Texas County Memorial Hospital CurrentSince Apr 18, 2018 Accepting new patients
Lester E Cox Medical Centers Interventional Cardiology CurrentSince Sep 19, 2020 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1390 US Highway 61
Ste N1500
Crystal Cty, MO 63028
Phone (636) 933-5055

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

625 S New Ballas Rd
Ste 2015
Saint Louis, MO 63141
Phone (314) 251-1775

10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807

3801 S National Ave
Fl 5
Springfield, MO 65807

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

901 Patients First Dr
#2500
Washington, MO 63090

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IA HMO C-SNP
  • IA HMO
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IL PPO Downstate

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1013175389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61 STE N1500",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-933-5055",
            "fax_number": "636-933-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61 STE N1500",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-933-5055",
            "fax_number": "636-933-3609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 W Pine St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401439",
            "country_code": "US",
            "telephone_number": "636-933-5055",
            "fax_number": "636-933-3609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURGA",
        "first_name": "SRIDEVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2016022748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034795",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013175389",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.