Rajiv L Yadava, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

R5P82 Issued in MO

Practice address

2355 Dougherty Ferry Rd Ste 320
St Louis, MO 63122-3325

Phone

(314) 821-7577

Fax

(314) 821-9199

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Sep 6, 2016 through Sep 6, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629117742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 DOUGHERTY FERRY RD STE 320",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631223325",
            "telephone_number": "314-821-7577",
            "fax_number": "314-821-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DOUGHERTY FERRY RD STE 320",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631223325",
            "telephone_number": "314-821-7577",
            "fax_number": "314-821-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADAVA",
        "first_name": "RAJIV",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MO",
            "license": "R5P82",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Y.I.W. Home Healthcare
• Shira H Yablok, MS, CCC-SLP
• Dmitriy Yablonskiy
• Devvrat Yadav, MD
• Madan Yadav, LPC
• Ravi Yadava, D.O.
• Shivi Yadava, DO
• Garrett Michael Yadro, CRNA
• Michelle Yager, PHARM.D
• Missy K Yager, DPT

• Neuromusculoskeletal Medicine & OMM Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.