Organization Active NPI

Drramanstl LLC

  • Family Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1942951611
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DRRAMANSTL LLC
Practice address
16216 Baxter Rd Ste 325
Chesterfield, MO 63017-4771
Phone
(636) 777-8058
Fax
(636) 777-8059
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Gayathri Raman, MDNPI 1568461176
Title
Physician/Owner
Phone
(636) 777-8058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

16216 Baxter Rd Ste 325
Chesterfield, MO 63017-4771

Mailing address

16216 Baxter Rd Ste 325
Chesterfield, MO 63017-4771
Phone (636) 777-8058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220316000174 MO Part B Supplier - Clinic/Group Practice 7911392600 Receives reassigned benefits from 1 practitioner
Practice locations: Chesterfield, MO

National Provider Directory

National Provider Directory

Locations

16216 Baxter Rd
Ste 325
Chesterfield, MO 63017
Phone (314) 699-4013

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1942951611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD STE 325",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174771",
            "telephone_number": "636-777-8058",
            "fax_number": "636-777-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD STE 325",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174771",
            "telephone_number": "636-777-8058",
            "fax_number": "636-777-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRRAMANSTL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "RAMAN",
        "authorized_official_first_name": "GAYATHRI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "636-777-8058",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.