MR. SRINIVASAN RAGHAVAN (M.D.) – Internal Medicine Physician, NPI 1265444608

MR. SRINIVASAN RAGHAVAN (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2000143921 (MO). The NPI Number for MR. SRINIVASAN RAGHAVAN (M.D.) is 1265444608

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
MR. SRINIVASAN RAGHAVAN (M.D.)
NPI
1265444608
Phone
(314) 543-5942
Address
12700 SOUTHFORK ROAD
Enumeration Date
13 August 2006
Last Update Date
14 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5734839492
Graduation Year
1978 (48 years ago)
PAC ID
5799760450
Group Practice PAC ID
3274432802
Professional Enrollment ID
I20040618000865
Address ID
MO636279099BL255XXBODE200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

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Provider Addresses for MR. SRINIVASAN RAGHAVAN (M.D.)

  • Mercy South Medical Plaza, 12700, Southfork Road, Sappington, Saint Louis County, Missouri, 63128, United States

    SUITE 220

    SAINT LOUIS, MO 631282106

    Phone: (314) 543-5942

    Fax: (314) 543-5947

    Type: Location

  • St. Anthony's Medical Plaza, 12700, Southfork Road, Sappington, Saint Louis County, Missouri, 63128, United States

    STE 220

    SAINT LOUIS, MO 631283201

    Phone: (314) 543-5942

    Fax: (314) 543-5947

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $603.

Total Amount is formed as General ($603) + Research ($0) + Ownership ($0) = $603.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: ABBVIE INC. ($251).

Total Amount

$603

General + Research + Ownership

Payments

27

Total payment records

General Amount

$603

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040618000865IInternal MedicineMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63128)

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Provider's Procedures

MR. SRINIVASAN RAGHAVAN (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMO83036Hemoglobin A1C level10565

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274432802View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Nurse PractitionerMO
Nurse PractitionerMO
Certified Nurse Midwife (Cnm), Nurse PractitionerMO
Physical Medicine And Rehabilitation, Pain ManagementMO
-MO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO

Reviews

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Frequently asked questions

Is MR. SRINIVASAN RAGHAVAN (M.D.) listed with a National Provider Identifier?
Yes — MR. SRINIVASAN RAGHAVAN (M.D.) has NPI 1265444608 on file in the registry.
Active or inactive — what applies to MR. SRINIVASAN RAGHAVAN (M.D.)?
You should see MR. SRINIVASAN RAGHAVAN (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is MR. SRINIVASAN RAGHAVAN (M.D.)?
MR. SRINIVASAN RAGHAVAN (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MR. SRINIVASAN RAGHAVAN (M.D.) located near Saint Louis?
MR. SRINIVASAN RAGHAVAN (M.D.) currently maps to Saint Louis, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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