Srinivas Chilakamarri, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD36785 Issued in MO

Practice address

10004 Kennerly Road, Suite 362B
St Louis, MO 63128

Phone

(314) 849-0450

Fax

(314) 849-0159

NPI assigned

Sep 19, 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

Enrollment records 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.srinivaschilakamarri@140753.advancedmd-direct.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.

• Ste Genevieve County Memorial Hospital

  • Rural Health Clinic/Center
  • Ste Genevieve, MO
  • NPI 1801817416
  Medicare reassignment NPD
• Ste. Genevieve County Memorial Hospital

  • Foot Surgery Podiatrist
  • Bloomsdale, MO
  • NPI 1104692946
  NPD

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1265539878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 POINTE BASSE DR",
            "city": "STE. GENEVIEVE",
            "state": "MS",
            "postal_code": "636701820",
            "telephone_number": "573-883-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY ROAD, SUITE 362B",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-849-0450",
            "fax_number": "314-849-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILAKAMARRI",
        "first_name": "SRINIVAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "MD36785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202428413",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neejad Tarek Chidiac, MD, MBA
• Daniel Chien
• David W Chien, MD
• Tony L Chien, D.O.
• Sapna Chilakamarri, M.D.
• Madan M Chilappa, M.D.
• Chilcutt & Steuterman, DDS, LLC
• Child and Adolescent Life Therapy
• Child and Family Empowerment Center
• Child Center of Our Lady

• Psychiatry Physician in St Louis, MO
• Providers in St Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.