Shailaja Athota Bellard, MD
Individual provider Active NPI Anesthesiology Physician · Chesterfield, MO
NPI 1740488444 · NPPES record last updated Mar 13, 2014
Key facts
- NPI
- 1740488444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 2010018424 (MO)
- Practice address
- 17050 Baxter Rd Ste 110
Dept. of Anesthesia
Chesterfield, MO 63005-1422 - Phone
- (636) 200-4242
- Fax
- (636) 200-4243
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Arkansas College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthomed Staffing LLC
Western Anesthesiology Associates Inc
Practice addresses (Care Compare)
200 NE 54TH St
Unit 200
Kansas City, MO 64118-4338
Phone (469) 863-9978
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-4687
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100915000882 | MO | Practitioner - Anesthesiology | 9436274313 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010018424 | MO | MD | Anesthesiology Physician |
| 2006018691 | MO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Anesthesiology Associates, Inc. | Anesthesiology | Current |
Accepting new patients |
| Orthomed Staffing LLC | Anesthesiology | Current |
Accepting new patients |
| Robert H and Teresita S Petty | Anesthesiology | Past | Accepting new patients |
Locations
3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320
339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222
17050 Baxter Rd
Chesterfield, MO 63005
Phone (636) 200-4242
17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122
305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310
200 NE 54th St
Unit 200
Kansas City, MO 64118
211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214
9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517
10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400
4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607
12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
1050 Old des Peres Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 396-9517
1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780
901 Patients First Dr
Ste 108
Washington, MO 63090
Phone (636) 390-1715
901 Patients First Dr
#A
Washington, MO 63090
Phone (636) 390-1404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2006018691 | MO | |
| Anesthesiology Physician | 207L00000X | 2010018424 | MO | Yes |
Addresses
Primary practice location
17050 Baxter Rd Ste 110
Dept. of Anesthesia
Chesterfield, MO 63005-1422
Mailing address
351 Consort Dr
Ballwin, MO 63011-4439
Phone (636) 200-4242
Other providers in Chesterfield, MO
- Kaitlyn Belisle
- David Bell
- Jason E Bell
- Richard C Bell
- Bella G Home Care LLC
- David D Benage
- Benchmark Healthcare Group, Inc
- Lily Benda
- Kerry Hannon Bender
- William W Benedict
All providers in Chesterfield, MO · Anesthesiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.