DR. SHOURIK DUTTA MD
NPI 1275103780
Anesthesiology in Saint Louis, MO

Q: What is Shourik Dutta's NPI number?

The NPI number for Shourik Dutta is 1275103780. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Q: What is Shourik Dutta's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shourik Dutta was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 June 28, 2021PECOS Enrolled

1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 617-3748 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 24, 2026, Jun 28, 2021 (2 updates tracked since 2021).

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About Dr. Shourik Dutta Md NPPES

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

DR. SHOURIK DUTTA MD (NPI 1275103780) is an individual anesthesiology provider in Saint Louis, Missouri, licensed in Missouri (2021019663) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1275103780

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. SHOURIK DUTTACredential: MD

Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016

Mailing Address1201 S Grand BlvdSaint Louis, MO 63104-1016

Phone(314) 617-3748

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 28, 2021

Last NPPES UpdateApril 24, 20262 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1275103780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in MO · 2021019663

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1201 S GRAND BLVD, Saint Louis, MO 63104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shourik Dutta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103396890

PECOS Enrollment IDI20260522001314

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DOUG LONGO APRN

Nurse Practitioner (Acute Care)