Physician Services and Consulting, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PHYSICIAN SERVICES AND CONSULTING, LLC

Doing business as

Chesterfield Bariatric Surgery

Practice address

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

Phone

(314) 500-2424

NPI assigned

Nov 28, 2016

Last updated

Oct 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deepu Sudhakaran, MDNPI 1528269214

Title

President

Phone

(314) 412-4430

Specialties & licenses 1

Addresses

Other names 1

• Chesterfield Bariatric Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deepu Sudhakaran, M.D

  • Surgery Physician
  • Saint Louis, MO
  • NPI 1528269214

  IL

  Medicare reassignment Care Compare group Authorized official
• Emily Desbiens, PA

  • Physician Assistant
  • Chicago, IL
  • NPI 1194486886

  MO

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1396288106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66738 # 19038",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63166"
        },
        {
            "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": "314-500-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16216 Baxter Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630174778",
            "country_code": "US",
            "telephone_number": "314-500-2424",
            "fax_number": "682-334-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIAN SERVICES AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "SUDHAKARAN",
        "authorized_official_first_name": "DEEPU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-412-4430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chesterfield Bariatric Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.