Active NPI
Rajeshwar K Luther, M.D.
- Diagnostic Radiology Physician
- Saint Louis, MO
National Provider Identifier
1093732737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35905
- Practice address
- 11615 Olive Blvd
Saint Louis, MO 63141-7095 - Phone
- (314) 993-9555
- Fax
- (314) 432-0178
- NPI assigned
- Jul 17, 2006
- Last updated
- Oct 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35905 | MO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 036059542 | IL |
Addresses
Primary practice location
11615 Olive Blvd
Saint Louis, MO 63141-7095
Mailing address
PO Box 411515
Saint Louis, MO 63141-3515
Phone (314) 333-6750
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201369220 | Medicaid | MO | |
| 300102468 | Other | MO | RAILROAD MEDICARE |
| 300102479 | Other | MO | RAILROAD MEDICARE |
| 300105149 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036059542 | IL | MD | Diagnostic Radiology Physician |
| 35905 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiologic Imaging Consultants, LLP | Diagnostic Radiology | Past | Accepting new patients |
| Mercy Hospitals East Communities | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
- Diagnostic Radiology Physician
- Creve Coeur, MO
- NPI 1760578496
-
- Diagnostic Radiology Physician
- Saint Charles, MO
- NPI 1871689505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1093732737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411515",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631413515",
"telephone_number": "314-333-6750",
"fax_number": "314-432-0178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11615 OLIVE BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417095",
"telephone_number": "314-993-9555",
"fax_number": "314-432-0178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTHER",
"first_name": "RAJESHWAR",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "35905",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036059542",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201369220",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300102468",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300102479",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300105149",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Robert G Lutan, MD
- Alice Luten Karandjeff, PH.D.
- Stacie L Luter, OT
- Kelly Gail Luterman, ACNP
- Barbara A Lutey, MD
- Lutheran Family and Children's Services of Missouri
- Lutheran Geriatric Care, Inc
- Lutheran Senior Services (Lutheran Senior Services at Richmond Terrace)
- Lutheran Senior Services (Lutheran Senior Services at Laclede Commons)
- Lutheran Senior Services (St. Louis Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.