Individual provider Active NPI

Sri Krishna Chaitanya Patchala, M.D

  • Physical Medicine & Rehabilitation Physician
  • Richmond Heights, MO
National Provider Identifier
1619230794
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2019045761 Issued in MO
Practice address
1027 Bellevue Ave
Richmond Heights, MO 63117-1996
Phone
(314) 768-5202
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2019045761 MO Primary
Physical Medicine & Rehabilitation Physician 208100000X 036-141524 IL
Physical Medicine & Rehabilitation Physician 208100000X 2012016755 MO

Addresses

Primary practice location

1027 Bellevue Ave
Richmond Heights, MO 63117-1996

Mailing address

1776 Woodstead CT Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428

Other practice location 1

6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (877) 749-7428

Other practice location 2

180 S 3rd St
Suite 102
Belleville, IL 62220-1952
Phone (618) 235-2511

Other practice location 3

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

Other identifiers 2

IdentifierTypeStateIssuer
462543964-75267-01MedicaidIL
2000079368MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160908000036 IL Practitioner - Physical Medicine and Rehabilitation 8729374319 Reassigns benefits to 1 organization
I20200107001450 MO Practitioner - Physical Medicine and Rehabilitation 8729374319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post-Acute Physicians of Illinois LLCGroup PAC ID 6507009420, 2 clinicians
Post-Acute Physicians of Missouri, PCGroup PAC ID 6002121126, 12 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

100 Medical PLZ
Lake Saint Louis, MO 63367-1366
Phone (636) 625-5200

815 E Irving Park Rd
Streamwood, IL 60107-3073
Phone (630) 837-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-141524ILMDPhysical Medicine & Rehabilitation Physician
2012016755MOMDPhysical Medicine & Rehabilitation Physician
2019045761MOMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Post-Acute Physicians of Illinois LLC Physical Medicine & Rehabilitation CurrentSince Dec 15, 2019 Accepting new patients
Post-Acute Physicians of Missouri PC Physical Medicine & Rehabilitation CurrentSince Dec 15, 2019 Accepting new patients
SSM Select Rehab St Louis LLC Past Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

5825 W Cermak Rd
Cicero, IL 60804
Phone (708) 656-9120

1920 Nerge Rd
Elk Grove Vlg, IL 60007
Phone (847) 301-0550

9777 N Greenwood Ave
Niles, IL 60714
Phone (847) 470-0000

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

815 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 479-4246

2180 Manchester Rd
Wheaton, IL 60187
Phone (630) 665-4330

12380 De Paul Dr
Bridgeton, MO 63044
Phone (314) 447-9700

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

100 Medical Plz
Fl 5
Lake St Louis, MO 63367
Phone (636) 625-5200

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

723 1st Capitol Dr
Saint Charles, MO 63301
Phone (504) 835-4919

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1027 Bellevue Ave
Ste LL32
Saint Louis, MO 63117

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

1027 Bellevue Ave
Saint Louis, MO 63117
Phone (314) 768-5202

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

1630 E Primrose St
Springfield, MO 65804
Phone (417) 885-4700

1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100

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 6

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1619230794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 BELLEVUE AVE",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171996",
            "telephone_number": "314-768-5202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6420 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631171811",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 S 3rd St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622201952",
            "country_code": "US",
            "telephone_number": "618-235-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Saint Elizabeth Blvd",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691099",
            "country_code": "US",
            "telephone_number": "618-234-2120",
            "fax_number": "512-628-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATCHALA",
        "first_name": "SRI",
        "middle_name": "KRISHNA CHAITANYA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2019045761",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036-141524",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2012016755",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462543964-75267-01",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000079368",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, MO

Sources for this page

Verify at the official NPI Registry.