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

Dr. Pavan Rao, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1013363829

Dr. Pavan Rao, MD is a Colorectal Surgery (Proctology) in Saint Louis, Missouri. Graduated from Indiana University School of Medicine in 2016, 10 years ago. Practices with Mercy Clinic Surgical Specialists LLC, a 180-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Trained at
Indiana University School of Medicine
Licensed in
MO
In the registry since
2016
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

621 S New Ballas Rd Ste 7011B
Saint Louis, MO 63141-8275
Phone: (314) 251-6840
Fax: (314) 251-7249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 2025014653 (MO)

Record details

NPI number1013363829
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2016
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 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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