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GATEWAY GERIATRIC SERVICES LLC
NPI 1114219417
Internal Medicine - Geriatric Medicine in Saint Louis, MO

Active since May 05, 2011
12026 CONWAY RD, SAINT LOUIS, MO 63131(314) 225-6015 Get Directions Write a Review

NPPES record last updated: July 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gateway Geriatric Services Llc NPPES

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

GATEWAY GERIATRIC SERVICES LLC (NPI 1114219417) is a healthcare organization registered as a geriatric medicine in Saint Louis, Missouri and active in the NPI registry since May 2011. The organization lists Shailaja Pulisetty, Physician/president, as its authorized official.

NPPES Registry Identity

NPI1114219417
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameGATEWAY GERIATRIC SERVICES LLC
Location Address12026 CONWAY RDSaint Louis, MO 63131-2417
Mailing Address12026 Conway RdSaint Louis, MO 63131-2417 · (314) 225-6015
Phone(314) 225-6015
Organization SubpartNo
Authorized OfficialShailaja PulisettyPhysician/president · (314) 225-6015
Enumeration DateMay 5, 2011
Last NPPES UpdateJuly 13, 2011
✔ NPI 1114219417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in MO · 2005019644
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
12026 CONWAY RD, Saint Louis, MO 63131
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. SHAILAJA PULISETTY M.D.
Internal Medicine
12026 CONWAY RD
SAINT LOUIS, MO 63131
St. Louis County (636) 566-8155

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 Gateway Geriatric Services LLC's NPI number?

The NPI number for Gateway Geriatric Services LLC is 1114219417. It was assigned to this organization in the NPPES registry on May 5, 2011.

Where is Gateway Geriatric Services LLC located?

Gateway Geriatric Services LLC is located at 12026 Conway Rd, Saint Louis, MO 63131. The listed phone number is (314) 225-6015.

What is Gateway Geriatric Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Gateway Geriatric Services LLC was last updated on July 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.