MR. RAJENDRA GAVINI M.D.
NPI 1053501973
General Practice in Saint Louis, MO

Q: What is Rajendra Gavini's NPI number?

The NPI number for Rajendra Gavini is 1053501973. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Q: What is Rajendra Gavini's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Rajendra Gavini was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2007

12101 WOODCREST EXECUTIVE DR, SUITE 210, SAINT LOUIS, MO 63141(314) 317-0600(314) 317-0606 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Rajendra Gavini M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RAJENDRA GAVINI M.D. (NPI 1053501973) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (R6940) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1053501973

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameMR. RAJENDRA GAVINICredential: M.D.

Location Address12101 WOODCREST EXECUTIVE DR, SUITE 210Saint Louis, MO 63141-5047

Mailing Address12101 Woodcrest Executive Dr, Suite 210Saint Louis, MO 63141-5047 · (314) 317-0600 · Fax (314) 317-0606

Phone(314) 317-0600

Fax(314) 317-0606

Sole ProprietorNo

Enumeration DateJuly 26, 2007

Last NPPES UpdateApril 22, 2014

✔ NPI 1053501973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MO · R6940

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

12101 WOODCREST EXECUTIVE DR, Saint Louis, MO 63141

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Other Identifiers 3

Medicare PIN139000101MO

Medicare UPINA11086MO

Medicaid1053501973MO

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%114 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVAMED EYE SURGERY CENTER OF NORTH COUNTY LLC

Nurse Anesthetist, Certified Registered

12101 WOODCREST EXECUTIVE DR, SUITE 101
SAINT LOUIS, MO 63141

St. Louis County (314) 838-0321

IN HOME HEALTH LLC

Home Health

12101 WOODCREST EXECUTIVE DR
SAINT LOUIS, MO 63141

St. Louis County (314) 453-0990

NOVAMED EYE SURGERY CENTER OF NORTH COUNTY, LLC

Clinic/Center (Ambulatory Surgical)

12101 WOODCREST EXECUTIVE DR, SUITE 101
SAINT LOUIS, MO 63141

St. Louis County (866) 631-7890

IPC PAC HEALTHCARE SERVICES OF MISSOURI INC

Hospitalist

12101 WOODCREST EXECUTIVE DR, SUITE 210
SAINT LOUIS, MO 63141

St. Louis County (314) 317-0600

OLIVE AMBULATORY SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

12101 WOODCREST EXECUTIVE DR, STE 101
SAINT LOUIS, MO 63141

St. Louis County (314) 576-4500

IN HOME HEALTH LLC

Hospice Care, Community Based

12101 WOODCREST EXECUTIVE DR, SUITE 102
SAINT LOUIS, MO 63141

St. Louis County (314) 453-0990

MR. LAWRENCE WELLS MD

Internal Medicine

12101 WOODCREST EXECUTIVE DR, SUITE 210
SAINT LOUIS, MO 63141

St. Louis County (314) 317-0600

IN HOME HEALTH, LLC

Internal Medicine (Hospice and Palliative Medicine)

12101 WOODCREST EXECUTIVE DR
SAINT LOUIS, MO 63141

St. Louis County (314) 453-0990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rajendra Gavini's NPI number?

The NPI number for Rajendra Gavini is 1053501973. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Rajendra Gavini located?

Rajendra Gavini practices at 12101 Woodcrest Executive Dr Suite 210, Saint Louis, MO 63141. The listed phone number is (314) 317-0600.

What is Rajendra Gavini's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Rajendra Gavini was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.