Infectious Disease
NPI 1225494628ActiveOrganization· Internal Medicine, Infectious Disease· Saint Louis, MO
Internal Medicine, Infectious Disease in Saint Louis, Missouri, registered in NPPES in January 2016. The authorized official on file is Suresh Nellore, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225494628 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2016 |
| Last updated in NPPES | Apr 23, 2025 |
| Certified by provider | Apr 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | 108767 | 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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