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

Individual provider Cardiovascular Disease Physician · NPI 1740671254

Dr. Sostanie Takota Enoru, MD is an Interventional Cardiology in Jefferson City, Missouri. Qualified in 2009, 17 years ago. Practices with SSM Regional Health Services, a 166-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Licensed in
MO
In the registry since
2015
Specialties on file
2
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

3501 W Truman Blvd # A
Jefferson City, MO 65109-0514
Phone: (573) 636-0635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 2022031212 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 2022031212 (MO)

Record details

NPI number1740671254
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 5, 2015
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ssm Regional Health Services — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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