Active NPI
Shrenika Gunukula Reddy, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Festus, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 2021046251
- Practice address
- 1400 US Highway 61 Ste 210
Festus, MO 63028-4141 - Phone
- (636) 933-8880
- Fax
- (636) 933-8881
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 2021046251 | MO | Primary |
Addresses
Primary practice location
1400 US Highway 61 Ste 210
Festus, MO 63028-4141
Mailing address
1400 US Highway 61 Ste 210
Festus, MO 63028-4141
Phone (636) 933-8880
Other names 1
- Sri Shrenika Shourie Edla
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 US Hwy 61
Suite 210
Festus, MO 63028-4141
Phone (636) 933-8880
Hospital & facility affiliations
- Mercy Hospital Jefferson
- Mercy Hospital Perry
- Mercy Hospital South
- Mercy Hospital St Louis
- Parkland Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021046251 | MO | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Single Specialty | Current | Accepting new patients |
| Mercy Hospital Jefferson | Single Specialty | Past | Accepting new patients |
Locations
1400 US Highway 61
Ste 210
Crystal Cty, MO 63028
Phone (636) 933-8050
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
Interoperability endpoints
- sreddy1215820@directc.mercy.net
- sreddy91543@direct.phhs.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Single Specialty
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- Critical Access Hospital
- Perryville, MO
- NPI 1063117158
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Farmington, MO
- NPI 1003824061
-
- Psychiatric Hospital Unit
- Farmington, MO
- NPI 1902814866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1801258207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 US HIGHWAY 61 STE 210",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284141",
"telephone_number": "636-933-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 US HIGHWAY 61 STE 210",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284141",
"telephone_number": "636-933-8880",
"fax_number": "636-933-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SHRENIKA",
"middle_name": "GUNUKULA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MO",
"license": "2021046251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SRI SHRENIKA SHOURIE",
"last_name": "EDLA",
"credential": "M.B.B.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.