Shubha Gadde Ravindra, MD

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

2025025844 Issued in MO

Practice address

510 S Kingshighway Blvd
Saint Louis, MO 63110-1076

Phone

(314) 362-2809

NPI assigned

Aug 6, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1235014713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 W PINE BLVD APT 8J",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081474",
            "telephone_number": "314-537-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101076",
            "telephone_number": "314-362-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVINDRA",
        "first_name": "SHUBHA",
        "middle_name": "GADDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MO",
            "license": "2025025844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravi Yadava, DO PC
• Barugur S. Ravi, M.D.
• Priyanka Ravi, MD,FRCPC
• V Nathan Ravi, MD
• Amy Jo Ravin, M.D.
• Pavitra Ravishankar, MD
• Shiv Balmukund Rawal, MD
• Taylor Erin Rawdon, RDN
• David Robert Rawnsley, MD
• Indygo Sheri Ray-Holmes

• Nuclear Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nuclear Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.