Individual provider Active NPI

Srinivas Battula, MD

  • Psychiatry Physician
  • Saint Peters, MO
National Provider Identifier
1093729311
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2006009277 Issued in MO
Practice address
5700 Mexico Rd Ste 8
Saint Peters, MO 63376-1667
Phone
(636) 477-6464
Fax
(636) 410-9291
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2006009277 MO Primary

Addresses

Primary practice location

5700 Mexico Rd Ste 8
Saint Peters, MO 63376-1667

Mailing address

5700 Mexico Rd Ste 8
Saint Peters, MO 63376-1667
Phone (636) 477-6464

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060810000071 MO Practitioner - Psychiatry 2466455563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5700 Mexico Rd
Suite 8
Saint Peters, MO 63376-1667
Phone (636) 477-6464

Hospital & facility affiliations

  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200
  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006009277MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S Battula MD LLC Psychiatry CurrentSince Aug 1, 2006 Accepting new patients
Lifetime Psychiatry LLC Psychiatry Current Accepting new patients
Chinya Murali MD LLC Psychiatry Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Saaid Khojasteh MD & Associates Psychiatry Past Accepting new patients

Locations

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

5700 Mexico Rd
Ste 8
Saint Peters, MO 63376
Phone (636) 477-6464

815 Woolf Rd
Warrenton, MO 63383
Phone (636) 456-1437

Organizations & group practices 5

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 3

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1093729311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MEXICO RD STE 8",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761667",
            "telephone_number": "636-477-6464",
            "fax_number": "636-410-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MEXICO RD STE 8",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761667",
            "telephone_number": "636-477-6464",
            "fax_number": "636-410-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTULA",
        "first_name": "SRINIVAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2006009277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.