Aravind Pothineni, MD
Individual provider Active NPI Pulmonary Disease Physician · Cape Giradeau, MO
NPI 1124215124 · NPPES record last updated Feb 25, 2026
Key facts
- NPI
- 1124215124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 2014012500 (MO)
- Practice address
- 1723 Broadway Suite 205
Cape Giradeau, MO 63701 - Phone
- (573) 331-7830
- NPI assigned
- Oct 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cogent Healthcare of Missouri Inc
Southeast Missouri Hospital Physicians LLC
Practice addresses (Care Compare)
1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000
1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822
371 S Broadview St
Cape Girardeau, MO 63703-5761
Phone (573) 331-6710
Hospital & facility affiliations
- Mercy Hospital Southeast
- SSM St Clare Health Center
- Mercy Hospital Stoddard
- Missouri Delta Medical Center
- Mercy Hospital Perry
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.33 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 74.43
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150107001267 | MO | Practitioner - Pulmonary Disease |
1355664947 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Hospital | Current | Accepting new patients | |
| Cogent Healthcare of Missouri, Inc | Critical Care Medicine | Current |
Accepting new patients |
| SSM Medical Group, Inc. | Critical Care Medicine | Current |
Accepting new patients |
| SSM Medical Group Inc. | Current |
Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Pulmonary Disease | Current |
Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
371 S Broadview St
Cape Girardeau, MO 63703
Phone (573) 331-6710
1723 Broadway St
Ste 205
Cape Girardeau, MO 63701
Phone (573) 331-7830
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
1011 Bowles Ave
Ste 300
Fenton, MO 63026
Phone (636) 496-5000
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
Interoperability endpoints
- apothineni523252@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2014012500 | MO | Yes |
| Pulmonary Disease Physician | 207RP1001X | NA | NY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2014012500 | MO |
Addresses
Primary practice location
1723 Broadway Suite 205
Cape Giradeau, MO 63701
Mailing address
1723 Broadway St Ste 205
Cape Girardeau, MO 63701-4556
Phone (573) 331-7830
Other practice location 1
1011 Bowles Ave Ste 300
Fenton, MO 63026-2387
Phone (636) 496-5030
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.