Dr. Kalugotla N Shivaram, MD
Dr. Kalugotla N Shivaram, MD practises Emergency Medicine in Wentzville, Missouri. Qualified in 1989, 37 years ago. Practices with Southeastern Emergency Physicians of Memphis LLC, a 92-clinician group. Licensed in Illinois and Missouri.
- Years since qualifying
- 37
- Licensed in
- IL, MO
- In the registry since
- 2005
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1111 W Pearce BlvdWentzville, MO 63385-1020
Phone: (636) 887-4288
Fax: (636) 639-2368
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 111383 (MO) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 036086751 (IL) |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | Taxonomy 207PP0204X · Licence 111383 (MO) |
| Pediatrics Physician | Taxonomy 208000000X · Licence 111383 (MO) |
Record details
| NPI number | 1619959137 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | November 18, 2005 |
| Last updated in NPPES | October 6, 2023 |
| Certification date | October 6, 2023 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Also practises | PEDIATRIC MEDICINE |
| Medical school | OTHER |
| Graduated | 1989 (37 years in practice) |
| Group practice | Southeastern Emergency Physicians Of Memphis Llc — 92 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 5 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 172 |
|---|---|
| Services billed | 189 |
| Average patient age | 72 |
Practises at
- Osf Saint Anthony'S Health Center Hospital · Alton, IL · listed as Saint Anthony's Health Center
- Parkland Health Center - Bonne Terre Hospital · Bonne Terre, MO · listed as Parkland Health Center
- Washington County Memorial Hospital Hospital · Potosi, MO
Colleagues at Southeastern Emergency Physicians of Memphis LLC
- Kamal Akhtar, FNP Nurse Practitioner · Potosi, MO
- Olivia Craft, MD Emergency Medicine Physician · Columbia, MO
- Sarah Gieszelmann, FNP Nurse Practitioner · Godfrey, IL
- Gerardo Gutierrez, MD Emergency Medicine Physician · Bonne Terre, MO
- Dr. Leah Kathyann Kernan, DO Emergency Medicine Physician · Fort Hood, TX
- Dr. Joshua Koyejo, MD Emergency Medicine Physician · Bridgeton, MO
- Dr. Justin Dean Moody, DO Family Medicine Physician · Saint Louis, MO
- Duane Moore, MD Emergency Medicine Physician · Saint Louis, MO
- Dr. Michelle Monica Ong, MD Emergency Medicine Physician · Chinle, AZ
- Erin K Parks, ACNP-BC, FNP-BC Acute Care Nurse Practitioner · Farmington, MO
- Dr. Tristan Lawrence Sevdy, MD Family Medicine Physician · Fort Stewart, GA
- Dr. Zubin F Wala, MD Family Medicine Physician · Carbondale, IL
Other providers in Wentzville
-
Dr. Joseph H Gatewood, MD
500 Medical Dr, Wentzville, MO 63385-3421 · (636) 327-1000
-
Andrew Thomas Gelven, DO
1601 Wentzville Pkwy Ste 117, Wentzville, MO 63385-3814 · (636) 332-8455
-
Dr. Rosanne Naunheim, MD
1021 Wentzville Pkwy, Wentzville, MO 63385-3437 · (646) 787-7685
-
Nancy E Noel, MD
500 Medical Dr, Wentzville, MO 63385-3421 · (636) 327-1000
-
SSM Health Care St Louis
500 Medical Dr, Wentzville, MO 63385-3421 · (636) 327-1117