Active NPI
Sridhar Pinnamaneni
- Orthopaedic Surgery Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2020016491
- Practice address
- 12639 Old Tesson Rd Ste 115
Saint Louis, MO 63128-2786 - Phone
- (314) 849-0311
- Fax
- (314) 849-4423
- NPI assigned
- May 2, 2014
- Last updated
- Oct 11, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2020016491 | MO | Primary |
Addresses
Primary practice location
12639 Old Tesson Rd Ste 115
Saint Louis, MO 63128-2786
Mailing address
12639 Old Tesson Rd Ste 115
Saint Louis, MO 63128-2786
Phone (314) 849-0311
Other practice location 1
845 N New Ballas Ct Ste 200
Saint Louis, MO 63141-7169
Phone (314) 983-4700
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sridhar.pinnamaneni@direct.signature.nextgenshare.com | Direct | |
| Direct Messaging Address | sridhar.pinnamaneni@direct.signature.nextgenshare.com |
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
- Orthopedic Surgery
- Education
- University of Missouri, Kansas City, School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12788 Olive Blvd
Creve Coeur, MO 63141-6211
14825 N Outer 40 Rd
Chesterfield, MO 63017-2152
Phone 3143362555219
15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Phone (636) 220-6969
Hospital & facility affiliations
- St Lukes Hospital
- Missouri Baptist Medical Center
- Mercy Hospital St Louis
- SSM Health Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020016491 | MO | MD | Orthopaedic Surgery Physician |
Interoperability endpoints
- sridhar.pinnamaneni@direct.signature.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Chesterfield, MO
- NPI 1881808483
-
dba CORA Physical Therapy - Creve Coeur
- Rehabilitation Clinic/Center
- Creve Coeur, MO
- NPI 1679947774
-
dba CORA Physical Therapy - Ballwin
- Rehabilitation Clinic/Center
- Ballwin, MO
- NPI 1942524087
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1982014767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12639 OLD TESSON RD STE 115",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282786",
"telephone_number": "314-849-0311",
"fax_number": "314-849-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12639 OLD TESSON RD STE 115",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282786",
"telephone_number": "314-849-0311",
"fax_number": "314-849-4423"
}
],
"practiceLocations": [
{
"address_1": "845 N New Ballas Ct Ste 200",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631417169",
"country_code": "US",
"telephone_number": "314-983-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINNAMANENI",
"first_name": "SRIDHAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2022-10-11",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2020016491",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sridhar.pinnamaneni@direct.signature.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12639 Old Tesson Rd Ste 115",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631282786",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sridhar.pinnamaneni@direct.signature.nextgenshare.com",
"affiliation": "N",
"address_1": "845 N New Ballas Ct Ste 200",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631417169",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
- Arriell Pinkston, MED, PLPC, NCC
- Pinnacle Chiropractic & Wellness
- Pinnacle Medical Services LLC (Mobile Anesthesia)
- Pinnacle Placement Care LLC
- Pinnacle Senior Care of Missouri, LLC (Alpine Care Home Health)
- Haley Pinnell
- Rebecca Ann Pinnell, MS, CCC-SLP
- Sai Pinni
- Martha Pinones, MS, PLPC
- Hailey Pinz, MS, CGC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.