| Aditya Krishna Suresh, MD | |
|
3660 Vista Ave, Saint Louis, MO 63110-2540 | |
| (314) 977-6100 | |
| (314) 977-6164 |
| Full Name | Aditya Krishna Suresh |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 7 Years |
| Location | 3660 Vista Ave, Saint Louis, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366902090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036165452 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 2022030333 (Missouri) | Primary |
| 207R00000X | Internal Medicine | 2022030333 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| St Joseph's Hospital | Highland, IL | Hospital |
| St Josephs Hospital | Breese, IL | Hospital |
| Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
| Anderson Hospital | Maryville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America-illinois Hospitalists, Llp | 3274765904 | 194 |
| St Elizabeths Hospital Of The Hospital Sisters Of The Third Order | 6406753011 | 29 |
| Impact Physician Group Missouri Llc | 4082958574 | 18 |
| Impact Physician Group Illinois Llc | 3870838428 | 8 |
| Ssm Health Care Group | 0143608372 | 921 |
| Entity Name | Cep America-illinois Hospitalists, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788 |
| Entity Name | Impact Physician Group Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467920124 PECOS PAC ID: 3870838428 Enrollment ID: O20181231000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Aditya Krishna Suresh, MD 1402 S Grand Blvd, Saint Louis, MO 63104-1004 Ph: (314) 577-8762 | Aditya Krishna Suresh, MD 3660 Vista Ave, Saint Louis, MO 63110-2540 Ph: (314) 977-6100 |
Dr. Robert Shi-heng Young, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Madeline Rose Spencer, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Ped Hospitalist Med, Saint Louis, MO 63110 Phone: 314-454-2076 Fax: 314-747-8953 | |
Dr. James Matthew Freer, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Rachel Hannah Bardowell, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Jabon L Ellis, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1201 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-257-8222 Fax: 915-742-2653 | |
Amanda Ramnot, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1201 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-257-8000 Fax: 314-977-1664 | |
Dr. Lauren Elizabeth Friedrich Black, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl, Div Ped Hospitalist Med, Saint Louis, MO 63110 Phone: 314-454-2076 Fax: 314-747-8953 |