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

Dr. Shailaja Pulisetty, MD

Individual provider Internal Medicine Physician · NPI 1902014467

Dr. Shailaja Pulisetty, MD is an Internal Medicine in Saint Louis, Missouri. Qualified in 1987, 39 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
39
Licensed in
MO
In the registry since
2007
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

12026 Conway Rd
Saint Louis, MO 63131-2417
Phone: (636) 566-8155
Fax: (636) 566-8732
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2005019644 (MO)

Record details

NPI number1902014467
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESMay 2, 2014

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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