Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charlie Srivilasa, MD

Individual provider Surgery Physician · NPI 1346531464

Dr. Charlie Srivilasa, MD is a General Surgery in Saint Louis, Missouri. Graduated from State University of New York at Stony Brook, School of Medicine in 2011, 15 years ago. Practices with Mercy Clinic Surgical Specialists LLC, a 180-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
MO
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10012 Kennerly Rd Ste 406
Saint Louis, MO 63128-2197
Phone: (314) 525-1224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 2018032445 (MO)
Surgery Physician Taxonomy 208600000X · Licence 2018032445 (MO)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 2018032445 (MO)

Record details

NPI number1346531464
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2011
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Mercy Clinic Surgical Specialists Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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