Active NPI
Sirisha Jasti, M.D.
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2016017278
- 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
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 | 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
Enrollment records 1
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
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
- Mercy Hospital South
- Mercy Hospital St Louis
- Barnes Jewish Hospital
- Mercy Hospital Jefferson
- SSM Health St Mary'S Hospital - St Louis
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016017278 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pet CT Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| West County Radiological Group, Inc. | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1477500585
-
- Diagnostic Radiology Physician
- Johnson City, NY
- NPI 1871559716
-
- Rehabilitation Hospital Unit
- Saint Louis, MO
- NPI 1235236779
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.
- 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.