Rajendra Rao Gavini (NPI# 1053501973, PAC ID# 1456428044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1053501973 |
| PAC ID by PECOS | 1456428044 |
| Professional Enrollment ID | I20080924000041 |
| Full Name | Rajendra Rao Gavini |
| Organization Legal Name | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| Address |
5303 Bermuda Dr Saint Louis MO 63121-1407 |
| Phone Number | 3143850910 |
| Gender | M |
| Graduation Year | 1969 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 4587950589 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5303 Bermuda Dr, Saint Louis, MO 63121-1407 | 3143850910 | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 71% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 71% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 100% |
| Organization Legal Name | IPC PAC HEALTHCARE SERVICES OF MISSOURI INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zackary D Coco | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 101 Cynthia St, Judsonia, AR 72081-9766 |
| Syreeta Van Ross | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Jei Martin | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 5400 Executive Centre Pkwy, Villages of St Peters Mo, Saint Peters, MO 63376-2594 |
| Shobha L Dixit | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 322 Old State Rd, Ellisville, MO 63021-5917 |
| Gopal K Nair | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 35 Sugar Maple Ln, Saint Charles, MO 63303-5740 |
| William F Sudholt | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Tiffany L Nelson | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Cierra Nicole Dillard | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Gina Iheonu Uzendu | Nurse Practitioner | Ipc Pac Healthcare Services of Missouri Inc | 1200 Graham Rd, Florissant, MO 63031-8015 |
| James L Paulsgrove | Internal Medicine | Ipc Pac Healthcare Services of Missouri Inc | 4005 Ripa Ave, Saint Louis, MO 63125-2378 |
| Street Address |
5303 BERMUDA DR |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63121-1407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna M Baudendistel | Nurse Practitioner | St Louis Medical Center Inc | 1701 S Florissant Rd, St Louis, MO 63121-1131 |
| David A Sciortino | Chiropractic | St Louis Medical Center Inc | 1701 S Florissant Rd, St Louis, MO 63121-1131 |
| Michael Spezia | Family Medicine | 23 N Oaks Plz, Suite 200, Saint Louis, MO 63121-2917 | |
| Ameesh Dara | Nephrology | Metro St Louis Renal Services Inc | 23 N Oaks Plz, Suite 274, Saint Louis, MO 63121-2917 |
| Patricia Edwards-parrish | Nurse Practitioner | County of St Louis Division of Fiscal Management | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 |
| Emily Drazinski Doucette | Family Medicine | County of St Louis Division of Fiscal Management | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 |
| Denise L Spear | Nurse Practitioner | County of St Louis Division of Fiscal Management | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 |
| Joshua P Branham | Physician Assistant | County of St Louis Division of Fiscal Management | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 |
| Matthew K Lee | Optometry | Curators of The University of Missouri | 7840 Natural Bridge Rd, Saint Loius, MO 63121-4617 |
| Hamnah T Siddiqui | Obstetrics/gynecology | Ssm Medical Group Inc | 7840 Natural Bridge Rd, Saint Loius, MO 63121-4617 |
| Find all physicians in zip 63121 | |||
| City | SAINT LOUIS |
| Zip Code | 63121 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | SAINT LOUIS + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Rajendra Rao Gavini.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.