| Radhika Jaladi, MD | |
|
12303 De Paul Dr, Bridgeton, MO 63044-2512 | |
| (314) 317-0600 | |
| (314) 317-0606 |
| Full Name | Radhika Jaladi |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 12303 De Paul Dr, Bridgeton, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376516302 | NPI | - | NPPES |
| 1376516302 | Medicaid | IL | |
| 209442508 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2005000360 (Missouri) | Primary |
| 208M00000X | Hospitalist | 2005000360 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Depaul Health Center | Bridgeton, MO | Hospital |
| Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| St Louis University Hospital | Saint louis, MO | Hospital |
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Physician Group Missouri Llc | 4082958574 | 16 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235 |
| Entity Name | Impact Physician Group Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962971531 PECOS PAC ID: 4082958574 Enrollment ID: O20181211001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Radhika Jaladi, MD 12101 Woodcrest Executive Dr, Suite 210, Saint Louis, MO 63141-5047 Ph: (314) 317-0600 | Radhika Jaladi, MD 12303 De Paul Dr, Bridgeton, MO 63044-2512 Ph: (314) 317-0600 |
Robert M Fischer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Radiology Dept, Bridgeton, MO 63044 Phone: 314-770-9393 Fax: 314-770-9997 | |
Dr. Ashfaq Ullah, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 12255 De Paul Dr Ste 500, Bridgeton, MO 63044 Phone: 314-209-5180 | |
Sean T Mclaughlin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr, Suite 504, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408 | |
Dr. Raymond Frederick Mohrman Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12266 De Paul Dr Ste 300, Bridgeton, MO 63044 Phone: 314-291-8824 | |
Navid S Siddiqui, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 600, Bridgeton, MO 63044 Phone: 314-209-5100 | |
Danial Tahir, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6000 Fax: 314-344-6840 | |
Robert Byrne, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr, Suite 700, Bridgeton, MO 63044 Phone: 314-739-4166 Fax: 314-739-2485 |