Suresh Nellore, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

108767 Issued in MO

Practice address

10004 Kennerly Rd Ste 295B
Saint Louis, MO 63128-2177

Phone

(314) 740-2949

Fax

(314) 375-5020

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, TX2 enrollments

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 2

Specialty

Infectious DiseaseAlso: Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infectious DiseaseGroup PAC ID 2466758172, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: snellore868726@ahs.direct-ci.com

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.

• Infectious Disease

  • Infectious Disease Physician
  • Saint Louis, MO
  • NPI 1225494628
  Medicare reassignment Care Compare group NPD Authorized official
• Etmc Physician Group Inc.

  • Cardiovascular Disease Physician
  • Tyler, TX
  • NPI 1609382662
  Medicare reassignment NPD
• Etmc Physician Group Inc.

  • Rural Health Clinic/Center
  • Chandler, TX
  • NPI 1235706581
  NPD
• Idocsweb LLC

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1386273787
  NPD
• Inpatient Consultants of Missouri Inc

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1194779579
  NPD (past)
• SK Raman PA

  • Infectious Disease Physician
  • Fort Myers, FL
  • NPI 1265719405
  NPD (past)

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

• Mercy Hospital South

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1568481984
  Care Compare affiliation

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1144297862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 295B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282177",
            "telephone_number": "314-740-2949",
            "fax_number": "314-375-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 295B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282177",
            "telephone_number": "314-740-2949",
            "fax_number": "314-375-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLORE",
        "first_name": "SURESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "108767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208059923",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Andrew Neilson, MD
• Nekton Autism of Missouri LLC
• Alicia Nel
• Stephanie Nellesen, FNP
• Patricia K Nellis, OT
• Vijay Nellutla
• Dawn Rae Nelms, RDN LD
• Lynn G Nelms, M.D.
• Dayton Joel Nelsen, LMSW
• McKinleigh Nelsen, LMSW

• Infectious Disease Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Infectious Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.