Individual provider Active NPI

Narendir T Soorya, MD

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1922021955
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33916 Issued in MO
Practice address
5000 Cedar Plaza Pkwy
Suite 350
Saint Louis, MO 63128-3854
Phone
(314) 843-4333
Fax
(314) 843-4856
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33916 MO Primary

Addresses

Primary practice location

5000 Cedar Plaza Pkwy
Suite 350
Saint Louis, MO 63128-3854

Mailing address

5000 Cedar Plaza Pkwy
Suite 350
Saint Louis, MO 63128-3854
Phone (314) 843-4333

Other identifiers 6

IdentifierTypeStateIssuer
404079360054OtherAETNA
A10898OtherMERCY HMO
278079OtherVALUE OPTIONS
4212065868001OtherANTHEM BLUE CROSS
6902OtherBLUE CROSS
826261058OtherRAILROAD MEDICARE

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
I20090714000197 MO Practitioner - Psychiatry 6103978762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Health LLC 22 clinicians
One Behavioral of Missouri 19 clinicians

Practice addresses (Care Compare)

4905 Mexico Rd
Suite 400
Saint Peters, MO 63376-1601
Phone (314) 590-3721

5000 Cedar Plaza Pkwy
Suite 320
Saint Louis, MO 63128-3841
Phone (314) 200-1366

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
One Behavioral of Missouri Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
Serenity Health LLC Psychiatry CurrentSince Oct 1, 2022 Accepting new patients
Narendir T Soorya Inc Psychiatry Past Accepting new patients
St. Louis Internal Medicine Inc PastSince Oct 1, 2022 Accepting new patients

Locations

11709 Old Ballas Rd
Ste 105
Saint Louis, MO 63141
Phone (314) 200-1366

5000 Cedar Plaza Pkwy
Ste 320
Saint Louis, MO 63128
Phone (669) 900-9251

5000 Cedar Plaza Pkwy
Ste 350
Saint Louis, MO 63128
Phone (314) 843-4333

4905 Mexico Rd
Ste 400
Saint Peters, MO 63376
Phone (314) 860-9979

5000 Cedar Plaza Pkwy
Ste 300
Sappington, MO 63128
Phone (314) 647-9797

Organizations & group practices 4

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1922021955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY",
            "address_2": "SUITE 350",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283854",
            "telephone_number": "314-843-4333",
            "fax_number": "314-843-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY",
            "address_2": "SUITE 350",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283854",
            "telephone_number": "314-843-4333",
            "fax_number": "314-843-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOORYA",
        "first_name": "NARENDIR",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "33916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "404079360054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HMO",
            "identifier": "A10898",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "278079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "4212065868001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "6902",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "826261058",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.