MR. SRIYANSHI SURYADEVARA PA
NPI 1962156760
Physician Assistant in Saint Louis, MO
About Mr. Sriyanshi Suryadevara Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SRIYANSHI SURYADEVARA PA (NPI 1962156760) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2022039245) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Sriyanshi Suryadevara Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Sriyanshi Suryadevara's NPI number?
The NPI number for Sriyanshi Suryadevara is 1962156760. It was assigned to this individual provider in the NPPES registry on February 9, 2022.
Where is Sriyanshi Suryadevara located?
Sriyanshi Suryadevara practices at 510 S Kingshighway Blvd Dept Radiology, Saint Louis, MO 63110. The listed phone number is (314) 362-7200.
What is Sriyanshi Suryadevara's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Sriyanshi Suryadevara enrolled in Medicare?
Yes. Sriyanshi Suryadevara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Sriyanshi Suryadevara was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mr. Sriyanshi Suryadevara, PA · NPI 1962156760
Physician Assistant physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since February 9, 2022.
## Identity
- **NPI:** 1962156760 (Entity type: Individual)
- **Enumerated:** February 9, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 2022039245 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY, Saint Louis, MO 63110-1016
- **Phone:** (314) 362-7200 · **Fax:** (314) 747-4189
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Medicaid 220115727 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1962156760) · Data from the CMS NPPES public registry.