MR. SRIYANSHI SURYADEVARA PA
NPI 1962156760
Physician Assistant in Saint Louis, MO
NPI Status: Active since February 09, 2022
Contact Information
510 S KINGSHIGHWAY BLVD
DEPT RADIOLOGY
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 362-7200
Fax: (314) 747-4189
- Individual
- Female
- Physician Assistant
- PECOS Enrolled
About SRIYANSHI SURYADEVARA
This page provides the complete NPI Profile along with additional information for Sriyanshi Suryadevara, a primary care provider established in Saint Louis, Missouri with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1962156760 assigned on February 2022. The practitioner's primary taxonomy code is 363A00000X with license number 2022039245 (MO). The provider is registered as an individual and her NPI record was last updated April 2025.
- NPI
- 1962156760
- Provider Name
- MR. SRIYANSHI SURYADEVARA PA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY SAINT LOUIS, MO 63110
- Location Phone
- (314) 362-7200
- Location Fax
- (314) 747-4189
- Mailing Address
- PO BOX 7412011 CHICAGO, IL 60674
- Mailing Phone
- (314) 362-7200
- Mailing Fax
- (314) 747-4189
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-09-2022
- Last Update Date
- 04-17-2025
- Code Navigator
A primary care provider (PCP) like Sriyanshi Suryadevara sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2022039245
- License State
- MO
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 220115727 | MEDICAID (05) | MO |
Medicare Participation & PECOS Enrollment Status
Sriyanshi Suryadevara is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 63110 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.32
- Minimum New Patient Price $55.65
- Maximum New Patient Price $169.38
- Average New Patient Copayment $21.58
- Minimum New Patient Copayment $13.91
- Maximum New Patient Copayment $42.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.5
- Minimum Established Patient Price $17.76
- Maximum Established Patient Price $137.92
- Average Established Patient Copayment $17.37
- Minimum Established Patient Copayment $4.44
- Maximum Established Patient Copayment $34.48
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 1 | 5 | 6 | 7 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 2 | 5 | 12 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 2 + 5 + 1 + 2 + 7 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1962156760 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. JASON LEE YEWELL MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DR. EMILY L SMITH MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
AMBROSE J HUANG M.D.
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DR. VICTORIA CHEN MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DR. TRAVIS HENRY MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DR. K TYLER BAE MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
MRS. GRETEL A MCKINLEY ACNP
Nurse Practitioner
(Acute Care)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DR. D CLAIRE ANDERSON MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DR. PREMSRI T BARTON MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DR. MARK MINTUN MD
Radiology
(Nuclear Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DR. ROBERT M STEINER MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
BENJAMIN LEE MD
Radiology
(Neuroradiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DR. WILLIAM G TOTTY MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DR. GEOFFREY M GEOGHEGAN MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
RASHID FUAD AL-SUKAITI MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DR. SEAN C DOHERTY MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DAVID DUBOIS MD
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
BARNES JEWISH HOSPITAL
General Acute Care Hospital
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
DR. CATHERINE GRACE GLYNN MBBCH, MRCPI, FRCR
Radiology
(Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
CAMPUS BOX 8131
SAINT LOUIS, MO
ZIP 63110
BARNES HOSPITAL WASHINGTON UNIVERSITY
General Acute Care Hospital
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO
ZIP 63110
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962156760, enumerated as an "individual" on February 09, 2022.
The provider is located at 510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY SAINT LOUIS, MO 63110 and the phone number is (314) 362-7200.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
