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

Renuka E Peterson, MD

Individual provider Pediatric Cardiology Physician · NPI 1194823310

Renuka E Peterson, MD is a Cardiovascular Disease (Cardiology) in Saint Louis, Missouri. Graduated from Harvard Medical School in 1999, 27 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
27
Trained at
Harvard Medical School
Licensed in
CA, MO
In the registry since
2006
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

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5380
Fax: (314) 268-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 2009020687 (MO)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence A78953 (CA)

Record details

NPI number1194823310
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesPEDIATRIC MEDICINE
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 1999 (27 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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