DR. SUPREETH NARAYANA GOWDA MBBS
NPI 1790418010
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Q: What is Supreeth Gowda's NPI number?

The NPI number for Supreeth Gowda is 1790418010. It was assigned to this individual provider in the NPPES registry on July 5, 2022.

Q: What is Supreeth Gowda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Supreeth Gowda was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 05, 2022PECOS Enrolled

4921 PARKVIEW PL, SAINT LOUIS, MO 63110(314) 362-1408 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Supreeth Narayana Gowda Mbbs NPPES

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

DR. SUPREETH NARAYANA GOWDA MBBS (NPI 1790418010) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790418010

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SUPREETH NARAYANA GOWDACredential: MBBS

Location Address4921 PARKVIEW PLSaint Louis, MO 63110-1032

Mailing Address660 S Euclid AveSaint Louis, MO 63110-1010 · (314) 362-1408

Phone(314) 362-1408

Sole ProprietorNo

Enumeration DateJuly 5, 2022

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1790418010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 2026000723 (MO)

4921 PARKVIEW PL, Saint Louis, MO 63110

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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. Supreeth Narayana Gowda Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MS. CHERYL ANNE WOOLSEY PA

Physician Assistant

4921 PARKVIEW PL, DIV SURG HPB, STE 12B
SAINT LOUIS, MO 63110

St. Louis City (314) 747-0410

DR. CHARLES PHILLIPS JONES MD

Urology

4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C
SAINT LOUIS, MO 63110

St. Louis City (314) 362-8200

DR. PRABHA RANGANATHAN MD

Internal Medicine (Rheumatology)

4921 PARKVIEW PL, DIV IM RHEUMATOLOGY, STE 5C
SAINT LOUIS, MO 63110

St. Louis City (314) 286-2635

DR. RALPH GERARD DACEY JR. MD

Neurological Surgery

4921 PARKVIEW PL, DEPT NEUROLOGICAL SURGERY, STE 6B/6C
SAINT LOUIS, MO 63110

St. Louis City (314) 362-3577

DR. KRASIMIRA MIKHAILOVA MIKHOVA MD

Internal Medicine (Clinical Cardiac Electrophysiology)

4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 63110

St. Louis City (314) 362-1291

DR. JEE YOUNG HAN MD

Psychiatry & Neurology (Neurology)

4921 PARKVIEW PL, DIV NEUROLOGY AGING AND DEMENTIA, STE 6C
SAINT LOUIS, MO 63110

St. Louis City (314) 362-1408

MS. MAREN JORGENSEN OT

Occupational Therapist

4921 PARKVIEW PL, DEPT OCCUPATIONAL THERAPY, STE 6F
SAINT LOUIS, MO 63110

St. Louis City (314) 286-1669

DR. ADRIAN SHIFREN MD

Internal Medicine (Pulmonary Disease)

4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, 8TH FL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-8917

DR. MYRA L RUBIO MD

Internal Medicine

4921 PARKVIEW PL, STE 5A
SAINT LOUIS, MO 63110

St. Louis City (314) 747-5900

DR. PETER G TUTEUR MD

Internal Medicine (Pulmonary Disease)

4921 PARKVIEW PL, 8TH FLOOR
SAINT LOUIS, MO 63110

St. Louis City (314) 454-8917

DR. RAMASWAMY GOVINDAN MD

Internal Medicine (Medical Oncology)

4921 PARKVIEW PL, DIV IM MEDICAL ONCOLOGY, STE 7A, 7B, 7C
SAINT LOUIS, MO 63110

St. Louis City (800) 647-2098

DR. CAROLYN KAY MCCOURT MD

Obstetrics & Gynecology (Gynecologic Oncology)

4921 PARKVIEW PL, DIV OBGYN GYNECOLOGIC ONCOLOGY, STE 13C
SAINT LOUIS, MO 63110

St. Louis City (314) 362-3181

DR. ADEL BASSAM TABCHY MD

Internal Medicine (Medical Oncology)

4921 PARKVIEW PL, 7TH FLOOR
SAINT LOUIS, MO 63110

St. Louis City (314) 747-1171

DR. BRIAN ADAMS KELLY MD

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A
SAINT LOUIS, MO 63110

St. Louis City (314) 514-3500

DR. NICHOLAS ANDREW PALLOTTA MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A
SAINT LOUIS, MO 63110

St. Louis City (314) 514-3500

MS. LORNA C KAHN PT

Physical Therapist

4921 PARKVIEW PL, DEPT PHYSICAL THERAPY, STE 6F
SAINT LOUIS, MO 63110

St. Louis City (314) 286-1940

MS. BRENDA G GOTTER AUD

Audiologist

4921 PARKVIEW PL, DEPT OTOLARYNGOLOGY, STE 11A
SAINT LOUIS, MO 63110

St. Louis City (314) 362-7509

DR. KAN LIU MD

Internal Medicine (Cardiovascular Disease)

4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 63110

St. Louis City (314) 362-1291

DR. SINA A JASIM MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

4921 PARKVIEW PL, DIV IM ENDOCRINOLOGY, STE 5C
SAINT LOUIS, MO 63110

St. Louis City (314) 362-3500

MS. SUSAN ANNETTE WILLIAMS PA

Physician Assistant (Medical)

4921 PARKVIEW PL, DIV NEUROLOGY EPILEPSY, STE 6C
SAINT LOUIS, MO 63110

St. Louis City (314) 362-7845

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 Supreeth Gowda's NPI number?

The NPI number for Supreeth Gowda is 1790418010. It was assigned to this individual provider in the NPPES registry on July 5, 2022.

Where is Supreeth Gowda located?

Supreeth Gowda practices at 4921 Parkview Pl, Saint Louis, MO 63110. The listed phone number is (314) 362-1408.

What is Supreeth Gowda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Supreeth Gowda enrolled in Medicare?

Yes. Supreeth Gowda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Supreeth Gowda was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.