Individual provider Active NPI

Ashalatha R Tatineny, M.D.

  • Emergency Medicine Physician
  • Saint Charles, MO
National Provider Identifier
1760435648
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18186 Issued in NV
Practice address
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone
(636) 947-5000
Fax
(636) 947-5090
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R1B00 MO
Internal Medicine Physician 207R00000X R1B00 MO
Emergency Medicine Physician 207P00000X 18186 NV Primary

Addresses

Primary practice location

300 1St Capitol Dr
Saint Charles, MO 63301-2844

Mailing address

1836 Lackland Hill Pkwy
Attn: Credentialing
Saint Louis, MO 63146-3572
Phone (314) 989-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NV2 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
I20050208000088 MO Practitioner - Emergency MedicinePractitioner - Internal Medicine 4688625668 Reassigns benefits to 10 organizations
I20200227002258 NV Practitioner - Emergency Medicine 4688625668 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Health Center of Stoddard County LLCGroup PAC ID 7315192515, 39 clinicians
Fremont Emergency Services Scherr LTDGroup PAC ID 4880684554, 135 clinicians

Practice addresses (Care Compare)

1200 N One Mile Rd
Southeast Health Center of Stoddard
Dexter, MO 63841-1000
Phone (573) 614-1900

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (856) 686-4394

Hospital & facility affiliations

  • Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160
  • Mercy Hospital Lincoln Hospital, Troy, MO, CCN 261319
  • South Lyon Medical Center Hospital, Yerington, NV, CCN 291314
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047

Merit-based Incentive Payment System (MIPS)

Final score
70.1 of 100Reported as group
Quality
41.46
Improvement activities
40
Cost
87.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry CurrentSince Mar 11, 2024 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine CurrentSince Feb 20, 2025 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Apr 22, 2024 Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince Oct 23, 2023 Accepting new patients
Madison Medical Center Stockhoff Memorial Nursing Home CurrentSince May 11, 2019 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince Oct 23, 2023 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Jun 1, 2024 Accepting new patients
Mercy Hospital Perry Emergency Medicine CurrentSince Mar 11, 2024 Accepting new patients
Hermann Area Hospital District Current Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Apr 22, 2024 Accepting new patients
South Lyon Health Center, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Pemiscot County Memorial Hospital Current Accepting new patients
South Lyon Health Center, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Madison Medical Center Stockhoff Memorial Nursing Home CurrentSince May 11, 2019 Accepting new patients
South Lyon Health Center, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Mercy Hospital Lincoln Internal Medicine CurrentSince Oct 5, 2025 Accepting new patients
Fremont Emergency Services Scherr LTD Emergency Medicine Current Accepting new patients
Pemiscot County Memorial Hospital Current Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Aug 23, 2014 Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Central Illinois Radiological Associates, LTD. PastSince Apr 1, 2024 Accepting new patients
SSM Health Care St. Louis Emergency Medicine Past Accepting new patients
Ucxtra Umbrella, LLC PastSince Dec 30, 2019 Accepting new patients
SSM Health Care St. Louis Internal Medicine Past Accepting new patients
Physician Specialists of St Lukes LLC Emergency Medicine Past Accepting new patients
Cira Michigan PC PastSince Jun 10, 2024 Accepting new patients
Emergency Physicians of St. Luke'S, LLC Emergency Medicine Past Accepting new patients
SSM St. Joseph Hospital West Emergency Medicine Past Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
SSM Health Care St. Louis Emergency Medicine Past Accepting new patients

Locations

17701 Edison Ave
Ste 101
Chesterfield, MO 63005
Phone (636) 735-4122

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 4

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1760435648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "address_2": "ATTN: CREDENTIALING",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300",
            "fax_number": "314-810-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012844",
            "telephone_number": "636-947-5000",
            "fax_number": "636-947-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATINENY",
        "first_name": "ASHALATHA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R1B00",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R1B00",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "18186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.