Active NPI
Sudhir R Raikar, M.D.
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Maryland Heights, MO
National Provider Identifier
1124013487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- R8500
- Practice address
- 83 Progress Pkwy
Maryland Heights, MO 63043-3701 - Phone
- (314) 434-8174
- Fax
- (314) 434-8706
- NPI assigned
- Sep 13, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | R8500 | MO | Primary |
Addresses
Primary practice location
83 Progress Pkwy
Maryland Heights, MO 63043-3701
Mailing address
920 Bellerive Manor Dr
Creve Coeur, MO 63141-6094
Phone (314) 434-6841
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| North County Emergency Physicians, LLP | Past | Accepting new patients | |
| Our Urgent Care, LLC | Past | Accepting new patients |
Locations
1111 W Pearce Blvd
Wentzville, MO 63385
Phone (636) 856-5362
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Emergency Medicine Physician
- Florissant, MO
- NPI 1356366934
-
- Urgent Care Clinic/Center
- Maryland Heights, MO
- NPI 1871819680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1124013487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 BELLERIVE MANOR DR",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416094",
"telephone_number": "314-434-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 PROGRESS PKWY",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630433701",
"telephone_number": "314-434-8174",
"fax_number": "314-434-8706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIKAR",
"first_name": "SUDHIR",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "MO",
"license": "R8500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryland Heights, MO
- Fredric A Prater, D.O.
- Precious Rutlin LLC
- Ann-Marie Puricelli, M.D.
- Quest Diagnostics Clinical Laboratories Inc
- Quest Diagnostics Clinical Laboratories Inc
- Anjana Ramachandranrao
- Manju Ramchandani, M.D.
- Kara Lynn Randall, SLP
- Ranken-Jordan Home for Convalescent Crippled Children
- Ranken-Jordan Home for Convalescent Crippled Children
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.