Active NPI
Narsingam Gatla, M.D.
- Diagnostic Radiology Physician
- Saint Louis, MO
National Provider Identifier
1255364279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R6379
- Practice address
- 1034 S Brentwood Blvd
Suite 280
Saint Louis, MO 63117-1223 - Phone
- (314) 727-0012
- Fax
- (314) 727-0014
- NPI assigned
- Jul 10, 2006
- Last updated
- May 19, 2008
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R6379 | MO | Primary |
Addresses
Primary practice location
1034 S Brentwood Blvd
Suite 280
Saint Louis, MO 63117-1223
Mailing address
2344 Hampton Ave
Saint Louis, MO 63139-2909
Phone (314) 647-2344
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194361 | Other | MO | BLUE CROSS BLUE SHIELD |
| 27716 | Other | MO | GROUP HEALTH PLAN |
| 3848 | Other | MO | CMR |
| 207359902 | Medicaid | MO | |
| 036054290 | Medicaid | IL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6379 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott Radiological Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| Logan Park Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Cape Radiology Group, P.C. | Diagnostic Radiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Cape Girardeau, MO
- NPI 1477506392
-
- Diagnostic Radiology Physician
- Festus, MO
- NPI 1063445096
-
- Diagnostic Radiology Physician
- Herrin, IL
- NPI 1205831971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1255364279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2344 HAMPTON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631392909",
"telephone_number": "314-647-2344",
"fax_number": "314-647-5108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 S BRENTWOOD BLVD",
"address_2": "SUITE 280",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171223",
"telephone_number": "314-727-0012",
"fax_number": "314-727-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATLA",
"first_name": "NARSINGAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R6379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "194361",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN",
"identifier": "27716",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMR",
"identifier": "3848",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207359902",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036054290",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.