Active NPI
Devika Rani Nagaraj, MD
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2001007777
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-6339
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2001007777 | MO | |
| Hospitalist Physician | 208M00000X | 2001007777 | MO | |
| Internal Medicine Physician | 207R00000X | 2001007777 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
621 S New Ballas Rd Ste 112a
Saint Louis, MO 63141-8252
Phone (314) 251-6339
Other practice location 1
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1328
Other practice location 2
1400 US Highway 61
Festus, MO 63028-4100
Phone (636) 933-5337
Other practice location 3
901 E 5th St
Washington, MO 63090-3127
Phone (636) 239-8231
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150021 | Other | MO | BCBS |
| 7100012950 | Medicaid | KY | |
| 440912 | Other | HEALTHLINK | |
| 205860307 | Medicaid | MO | |
| P00080062 | Other | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
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
- Hospitalist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6339
6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001007777 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists - Washington, LLC | Hospitalist | Current | Accepting new patients |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Cogent Healthcare of Missouri, Inc | Current | Accepting new patients | |
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| St Anthonys Physician Organization Hospitalist Services, L.C. | Hospitalist | Current | Accepting new patients |
| Cape Laboratory & Pathology, LC | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Cole Physician Services LLC | Hospitalist | Current | Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Internal Medicine | Current | Accepting new patients |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Internal Medicine | Past | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| Inpatient Consultants of Missouri Inc | Internal Medicine | Past | Accepting new patients |
Locations
3120 Independence St
Cape Girardeau, MO 63703
Phone (573) 240-8846
1702 N Kingshighway St
Cpe Girardeau, MO 63701
Phone (573) 339-0483
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
615 S New Ballas Rd
#C
Saint Louis, MO 63141
Phone (314) 569-6000
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
11133 Dunn Rd
Ste 2427
Saint Louis, MO 63136
Phone (314) 653-5643
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
621 S New Ballas Rd
Ste 112A
Saint Louis, MO 63141
Phone (314) 251-6339
11133 Dunn Rd
#2427
Saint Louis, MO 63136
Phone (314) 653-5643
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Interoperability endpoints
- dnagaraj16421@surescripts.sfmc.net
Organizations & group practices 17
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 1841235108
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Internal Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Fenton, MO
- NPI 1780961599
-
- Hospitalist Physician
- Jefferson City, MO
- NPI 1144578659
-
- Hospitalist Physician
- Washington, MO
- NPI 1891943429
-
- Internal Medicine Physician
- Festus, MO
- NPI 1083052492
-
- Clinic/Center
- Saint Louis, MO
- NPI 1851431738
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, MO
-
- Anatomic Pathology & Clinical Pathology Physician
- Cape Girardeau, MO
- NPI 1801872726
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1881644714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 112A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418252",
"telephone_number": "314-251-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-6339"
}
],
"practiceLocations": [
{
"address_1": "10010 Kennerly Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282106",
"country_code": "US",
"telephone_number": "314-525-1328",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 US Highway 61",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630284100",
"country_code": "US",
"telephone_number": "636-933-5337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 E 5th St",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "MO",
"postal_code": "630903127",
"country_code": "US",
"telephone_number": "636-239-8231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGARAJ",
"first_name": "DEVIKA",
"middle_name": "RANI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2001007777",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2001007777",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2001007777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "150021",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100012950",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "440912",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205860307",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00080062",
"state": null
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11133 Dunn Rd Ste 2427",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631366163",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.