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Active NPI 1528269214 Individual Practitioner Male Practitioner

Dr. Deepu Sudhakaran , MD

Surgery • Saint Louis, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Deepu Sudhakaran, MD is a certified Surgery practicing in Saint Louis, MO. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Sudhakaran delivers high-quality medical care to the local community at 10004 KENNERLY RD STE 295B.

Dr. Sudhakaran maintains professional affiliations with Mercy Clinic Hyperbaric And Wound Care Llc, Physician Services And Consulting, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10004 Kennerly Rd Ste 295b

Saint Louis, MO 631282177

Telephone 3145002424
Associated Practice Facility / Clinic
🏢 Infectious Disease Facility NPI 1225494628

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Saint Louis, MO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +9.7 yrs vs City Avg
City Avg: 18.3 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
246 Specialists

Practicing in Saint Louis, MO (766 Statewide)

Telehealth Adoption Rate
9.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sudhakaran (28 Years) 28 Yrs
Saint Louis Specialty Average (18.3 Years) 18.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 11 $329.62 $123.33

Medical Specialties & State Licenses

CMS Verified: 2024-03-28
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 2015033187

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 036127430

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036127430 (IL)
Medicaid State Provider ID
200097157 (MO)

Hospital & Practice Group Affiliations

Mercy Clinic Hyperbaric And Wound Care Llc

11700 Studt Ave, Saint Louis, MO 631417031

Phone: 3149891181

Physician Services And Consulting, Llc

2044 Madison Ave, Granite City, IL 620404641

Phone: 3145002424

Physician Services And Consulting, Llc

10004 Kennerly Rd, Saint Louis, MO 631285118

Phone: 3145002424

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Suresh Nellore , MD

Internal Medicine - Infectious Disease

NPI 1144297862

Doctor of Medicine (M.D.)

Dr. Amber Bokhari , MD

Internal Medicine - Infectious Disease

NPI 1457864175

Doctor of Medicine (M.D.)

Katherine Coates , PA-C

Physician Assistant

NPI 1457978231

Physician Assistant (Certified)

Dr. Ayesha Soomro , MD

Internal Medicine - Infectious Disease

NPI 1518318567

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location March 28, 2024

Registered at 10004 KENNERLY RD STE 295B, SAINT LOUIS, MO 631282177 (Tel: 3145002424)

NPI Profile Active December 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2016

Registered at 3003 CIVIC CIRCLE BLVD, MARION, IL 629595259 (Tel: 6189931400)

📍
Updated Business Mailing Address December 09, 2016

Registered at PO BOX 854, MARION, IL 629590854 (Tel: 6189931400)

👤
Provider Name / Credentials Updated December 09, 2016

Recorded as DEEPU SUDHAKARAN, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2016

Surgery (License #036127430 in IL)

🟢
Initial NPI Registration & Enumeration May 30, 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: 1528269214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2007
Last Update: March 28, 2024
Sole Proprietor: No

Mailing Address

Po Box 854

Marion, IL 629590854

Phone: 6189931400

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.