Individual provider Active NPI

Mathavi Sahadevan, MD

  • Internal Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1871022095
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2021050221 Issued in MO
Practice address
16216 Baxter Rd Ste 299
Chesterfield, MO 63017-4778
Phone
(636) 536-2600
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2021050221 MO Primary
Internal Medicine Physician 207R00000X 036.153168 IL

Addresses

Primary practice location

16216 Baxter Rd Ste 299
Chesterfield, MO 63017-4778

Mailing address

PO Box 874797
Kansas City, MO 64187-4797
Phone (314) 849-8700

Other practice location 1

1035 Bellevue Ave Ste 400
Saint Louis, MO 63117-1844
Phone (314) 925-4700

Other practice location 2

9701 Landmark Parkway Dr Ste 207
Saint Louis, MO 63127-1665
Phone (314) 849-8700

Other practice location 3

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600

Other identifiers 1

IdentifierTypeStateIssuer
YHZ71660775MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msahadevan376594@direct-ehr-ssmhc.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910003919 MO Practitioner - Internal Medicine 2668719949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy, Asthma and Sinus Care Center, LLCGroup PAC ID 5092817502, 11 clinicians

Practice addresses (Care Compare)

9701 Landmark Pkwy Dr
Suite 207
Saint Louis, MO 63127-1665
Phone (314) 849-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.153168ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Asthma & Sinus Care Center, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

16216 Baxter Rd
Ste 299
Chesterfield, MO 63017
Phone (636) 530-9999

9701 Landmark Parkway Dr
Ste 207
Saint Louis, MO 63127
Phone (314) 842-4802

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1871022095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874797",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641874797",
            "telephone_number": "314-849-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD STE 299",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174778",
            "telephone_number": "636-536-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Bellevue Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631171844",
            "country_code": "US",
            "telephone_number": "314-925-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9701 Landmark Parkway Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271665",
            "country_code": "US",
            "telephone_number": "314-849-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Good Samaritan Way",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642402",
            "country_code": "US",
            "telephone_number": "618-242-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHADEVAN",
        "first_name": "MATHAVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2021050221",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.153168",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YHZ71660775",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msahadevan376594@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "msahadevan376594@direct-ehr-ssmhc.com",
            "address_1": "1035 Bellevue Ave Ste 400",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.