Raksha Soora
Individual provider Active NPI Obstetrics & Gynecology Physician · Saint Louis, MO
NPI 1205192556 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1205192556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 2024035618 (MO)
- Practice address
- 1031 Bellevue Ave Ste 400
Saint Louis, MO 63117-1858 - Phone
- (314) 615-3500
- NPI assigned
- Apr 11, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SSM Health Care Group
County of St Louis Division of Fiscal Management
Practice addresses (Care Compare)
1031 Bellevue Ave
Suite 400
Saint Louis, MO 63117-1858
Phone (314) 977-7455
6121 N Hanley Rd
Saint Louis, MO 63134-2003
Phone (314) 615-0560
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - St Louis
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.02 of 100
- Quality
- 62.41
- Promoting interoperability
- 99
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, 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 |
|---|---|---|---|---|
| I20161011000247 | SC | Practitioner - Obstetrics/Gynecology | 3678861424 | Reassigns benefits to 1 organization |
| I20240920003196 | MO | Practitioner - Obstetrics/Gynecology | 3678861424 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39891 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of St Louis Division of Fiscal Management | Current |
Accepting new patients | |
| Betty Jean Kerr People'S Health Centers | Current |
Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current |
Accepting new patients | |
| Betty Jean Kerr People'S Health Centers | Current |
Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Obstetrics & Gynecology | Current |
Accepting new patients |
| County of St Louis Division of Fiscal Management | Current |
Accepting new patients | |
| SSM Health Care Group | Obstetrics & Gynecology | Current |
Accepting new patients |
| SSM Health Care Group | Current |
Accepting new patients | |
| SSM Medical Group Inc. | Past | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients |
Locations
6121 N Hanley Rd
#C
Saint Louis, MO 63134
Phone (314) 615-0500
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
5701 Delmar Blvd
Saint Louis, MO 63112
Phone 31436778481248
1031 Bellevue Ave
Ste 400
Saint Louis, MO 63117
6121 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 522-6410
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Interoperability endpoints
- raksha.soora.p1@direct.phcenters.nextgenshare.com
- rsoora523449@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 39891 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 2024035618 | MO | Yes |
Addresses
Primary practice location
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117-1858
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other providers in Saint Louis, MO
- Tina Sood
- Umang Sood
- Michael Fredrick Sookochoff
- Ayesha Soomro
- Woody Soonattrakul
- Aarti Soorya
- Narendir T Soorya
- Sophia Bednarski DMD, PC
- Elizabeth Anne Sophia
- John A. Sopuch
All providers in Saint Louis, MO · Obstetrics & Gynecology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. 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.