Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053501973 Individual Practitioner Male Practitioner

Dr. Rajendra Gavini , MD

General Practice • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Dr. Rajendra Gavini, MD is a registered healthcare professional specializing in General Practice in Saint Louis, MO. Practice services are available at 12101 WOODCREST EXECUTIVE DR under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, established patient custodial care facility, group care, or assisted living visit, established patient assisted living visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12101 Woodcrest Executive Dr
Suite 210

Saint Louis, MO 631415047

Telephone 3143170600
Fax 3143170606
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.1 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
67 Specialists

Practicing in Saint Louis, MO (221 Statewide)

Telehealth Adoption Rate
7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
295 116 $196.08 $68.45
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes
121 56 $180.79 $60.09
99335 Established patient assisted living visit, typically 25 minutes
66 40 $265.00 $94.88
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
26 24 $262.00 $91.05

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MO R6940

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1053501973 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Carol Berger , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1003140328

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Lesley Hanson , DO

Internal Medicine - Critical Care Medicine

NPI 1013909589

Doctor of Osteopathic Medicine (D.O.)

Dr. Peter Emerson , MD

Internal Medicine

NPI 1023045655

Doctor of Medicine (M.D.)

NPI 1023207115

Doctor of Medicine (M.D.)

NPI 1023439445

Doctor of Medicine (M.D.), Master of Public Health

NPI 1033422357

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2014

Registered at 12101 WOODCREST EXECUTIVE DR, SUITE 210, SAINT LOUIS, MO 631415047 (Tel: 3143170600)

📍
Updated Business Mailing Address April 22, 2014

Registered at 12101 WOODCREST EXECUTIVE DR, SUITE 210, SAINT LOUIS, MO 631415047 (Tel: 3143170600)

👤
Provider Name / Credentials Updated April 22, 2014

Recorded as RAJENDRA GAVINI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2014

General Practice (License #R6940 in MO)

🟢
Initial NPI Registration & Enumeration July 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053501973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2007
Last Update: April 22, 2014
Sole Proprietor: No

Mailing Address

12101 Woodcrest Executive Dr, Suite 210

Saint Louis, MO 631415047

Phone: 3143170600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.