Individual provider Active NPI

Suresh K Narayanan, MD

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1720071244
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
115543 Issued in MO
Practice address
11125 Dunn Rd
Ste 204
Saint Louis, MO 63136-6132
Phone
(314) 839-5522
Fax
(314) 839-5351
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 115543 MO Primary
Cardiovascular Disease Physician 207RC0000X 036105940 IL

Addresses

Primary practice location

11125 Dunn Rd
Ste 204
Saint Louis, MO 63136-6132

Mailing address

11125 Dunn Rd
Ste 204
Saint Louis, MO 63136-6132
Phone (314) 839-5522

Other practice location 1

12255 De Paul Dr Ste 600
Bridgeton, MO 63044-2515
Phone (314) 770-9888

Other identifiers 13

IdentifierTypeStateIssuer
2501038OtherUHC
6415380002OtherCIGNA
467659OtherHLNK
27050OtherBLCHOICE
102409V3831OtherGHP
150973OtherMOMOBS
205721301MedicaidMO
24852V8816OtherHCUSA
7674277OtherAETNA
060065774OtherMOMORRMCR
060067891OtherILILRRMCR
V30946OtherHLTHPART
G43207OtherMERCY

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address snarayanan25115@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE) Christian Hospital Northeast- Northwest

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20060328000470 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1355359621 Reassigns benefits to 3 organizations
I20110412000319 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1355359621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alton Memorial Physician Billing Services LLCGroup PAC ID 9436389442, 11 clinicians
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians
Christian Hospital Physician Billing Services LLCGroup PAC ID 4284796913, 11 clinicians

Practice addresses (Care Compare)

1 Memorial Dr Administration
Alton, IL 62002-6722

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

1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000

1035 Bellevue Ave
Suite 500
Saint Louis, MO 63117-1843
Phone (314) 925-4770

11125 Dunn Rd
Suite 204
Saint Louis, MO 63136-6188
Phone (314) 839-5522

2 Memorial Dr
Suite 122
Alton, IL 62002-6723
Phone (618) 462-6612

300 Medical PLZ
Suite 310
Lake St Louis, MO 63367-1484
Phone (636) 625-0600

500 Medical Dr
Wentzville, MO 63385-3421
Phone (636) 327-1000

500 Medical Plaza Dr
Wentzville, MO 63385-3421
Phone (636) 327-1157

Hospital & facility affiliations

  • SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200
  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • Alton Memorial Hospital Hospital, Alton, IL, CCN 140002
  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group, Inc. Cardiovascular Disease CurrentSince Aug 1, 2018 Accepting new patients
Alton Memorial Physician Billing Services LLC CurrentSince Nov 1, 2019 Accepting new patients
Christian Hospital Physician Billing Services LLC Cardiovascular Disease CurrentSince Nov 1, 2019 Accepting new patients
SSM Health Care St Louis Cardiovascular Disease CurrentSince Jan 1, 2016 Accepting new patients
Osf Healthcare System CurrentSince Nov 1, 2014 Accepting new patients
Comprehensive Pathology Services LC Current Accepting new patients
Saint Anthony'S Physician Group Past Accepting new patients
SSM Depaul Medical Group, Inc. Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

2 Memorial Dr
Ste 122
Alton, IL 62002
Phone (618) 462-6612

2 Memorial Dr
Ste 220
Alton, IL 62002
Phone (618) 462-6200

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

12255 De Paul Dr
Ste 600
Bridgeton, MO 63044
Phone (314) 209-5100

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

14021 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 839-0910

300 Medical Plz
Ste 221
Lake St Louis, MO 63367
Phone (636) 561-2229

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

2963 Doddridge Ave
Maryland Hts, MO 63043
Phone (314) 291-3909

1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268

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

1475 Kisker Rd
Ste 200
Saint Charles, MO 63304
Phone (636) 498-5800

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

11125 Dunn Rd
Ste 204
Saint Louis, MO 63136
Phone (314) 355-2300

11133 Dunn Rd
Ste 2346
Saint Louis, MO 63136
Phone (314) 653-5125

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

172 Professional Pkwy
Troy, MO 63379
Phone (636) 462-6106

500 Medical Dr
Wentzville, MO 63385
Phone (636) 327-1000

Interoperability endpoints

  • Direct secure messaging: snarayanan135730@direct.carenet.org
  • Direct secure messaging: snarayanan25115@direct-ehr-ssmhc.com
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 10

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1720071244",
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        {
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            "address_2": "STE 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-839-5522",
            "fax_number": "314-839-5351"
        },
        {
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            "telephone_number": "314-839-5522",
            "fax_number": "314-839-5351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12255 De Paul Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442515",
            "country_code": "US",
            "telephone_number": "314-770-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARAYANAN",
        "first_name": "SURESH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "115543",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036105940",
            "primary": false
        }
    ],
    "identifiers": [
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            "desc": "Other (non-Medicare)",
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            "identifier": "2501038",
            "state": null
        },
        {
            "code": "01",
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            "issuer": "CIGNA",
            "identifier": "6415380002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HLNK",
            "identifier": "467659",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLCHOICE",
            "identifier": "27050",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "102409V3831",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOBS",
            "identifier": "150973",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205721301",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCUSA",
            "identifier": "24852V8816",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7674277",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MORRMCR",
            "identifier": "060065774",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILRRMCR",
            "identifier": "060067891",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HLTHPART",
            "identifier": "V30946",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "G43207",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snarayanan25115@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "snarayanan25115@direct-ehr-ssmhc.com",
            "address_1": "12255 De Paul Dr Ste 600",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "12255 De Paul Dr Ste 600",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "BJC",
            "affiliationName": "Christian Hospital Northeast- Northwest",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11125 Dunn Rd",
            "address_2": "Ste 204",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.