Bharathi Raju (NPI# 1720078843, PAC ID# 5294751632) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1720078843 |
| PAC ID by PECOS | 5294751632 |
| Professional Enrollment ID | I20051014000840 |
| Full Name | Bharathi Raju |
| Organization Legal Name | SOUTH COUNTY ENDOCRINOLOGY AND OBESITY MEDICINE LLC |
| Address |
12900 Tesson Ferry Rd Suite 101 Saint Louis MO 63128-3002 |
| Phone Number | 3148434848 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | ENDOCRINOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668619669 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 141346 | FAYETTE COUNTY HOSPITAL |
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| 260081 | SSM ST CLARE HEALTH CENTER |
| 261336 | IRON COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12900 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63128-3002 | 3148434848 | SOUTH COUNTY ENDOCRINOLOGY AND OBESITY MEDICINE LLC |
| 650 W Taylor St, Vandalia, IL 62471-1227 | 6182831231 | FAYETTE COUNTY HOSPITAL DISTRICT |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 92% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 97% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 93% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 95% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 39% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 58% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 72% | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 97% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 98% |
| Organization Legal Name | SOUTH COUNTY ENDOCRINOLOGY AND OBESITY MEDICINE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hadia Jaffery | Physician Assistant | South County Endocrinology and Obesity Medicine LLC | 12900 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63128-3002 |
| Connie L Hoehn Graves | Nurse Practitioner | South County Endocrinology and Obesity Medicine LLC | 12900 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63128-3002 |
| Laura P Russell | Registered Dietitian Or Nutrition Professional | South County Endocrinology and Obesity Medicine LLC | 12818 Tesson Ferry Rd, Saint Louis, MO 63128-2945 |
| Street Address |
12900 TESSON FERRY RD SUITE 101 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63128-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hadia Jaffery | Physician Assistant | South County Endocrinology and Obesity Medicine LLC | 12900 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63128-3002 |
| Connie L Hoehn Graves | Nurse Practitioner | South County Endocrinology and Obesity Medicine LLC | 12900 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63128-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel M Ott | Nurse Practitioner | St Anthony's Physician Organization | 12700 Kennerly Rd, Suite 220, Saint Louis, MO 63128 |
| Shephali H Wulff | Infectious Disease | Infectious Diseases PC | 330 1st Capitol Dr, Suite 260, St Charles, MO 63128 |
| Marie E Wehner | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| David Brian Seibel | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| Craig Mathew Brawley | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| John D Friederich | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| Michelle E Nogalski | Physical Therapy | Prorehab PC | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 |
| Yvonne M Layugan | Family Medicine | 123 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 | |
| Megan R Anna | Physical Therapy | Prorehab PC | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 |
| Christopher J Tabor | Physical Therapy | The Physical Therapy Center, Inc. | 12048 Tesson Ferry Rd, Saint Louis, MO 63128-1727 |
| Find all physicians in zip 63128 | |||
| City | SAINT LOUIS |
| Zip Code | 63128 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | SAINT LOUIS + ENDOCRINOLOGY |
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| 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.