Individual provider Active NPI

Sirisha Jasti, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1538397328
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2016017278 Issued in MO
Practice address
11615 Olive Blvd
Saint Louis, MO 63141-7274
Phone
(314) 993-9555
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2016017278 MO Primary

Addresses

Primary practice location

11615 Olive Blvd
Saint Louis, MO 63141-7274

Mailing address

PO Box 411515
Saint Louis, MO 63141-3515
Phone (314) 364-4200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161018000328 MO Practitioner - Diagnostic Radiology 3173841632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Radiological Group IncGroup PAC ID 8527966944, 105 clinicians

Practice addresses (Care Compare)

16962 Riverdale Dr
Chesterfield, MO 63005-4474
Phone (631) 220-6072

901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2016017278MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pet CT Imaging Center LLC Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
West County Radiological Group, Inc. Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

630 NW Englewood Rd
Kansas City, MO 64118
Phone (816) 453-2700

11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

30 Harrison St
Ste 102
Johnson City, NY 13790
Phone (607) 729-7082

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1538397328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411515",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631413515",
            "telephone_number": "314-364-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417274",
            "telephone_number": "314-993-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTI",
        "first_name": "SIRISHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2016017278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.