Gateway Geriatric Services LLC
NPI 1114219417ActiveOrganization· Internal Medicine, Geriatric Medicine· Saint Louis, MO
Internal Medicine, Geriatric Medicine in Saint Louis, Missouri, registered in NPPES in May 2011. The authorized official on file is Shailaja Pulisetty, M.D., Physician/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114219417 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2011 |
| Last updated in NPPES | Jul 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | 2005019644 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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