OrganizationActive
Mysorekar Surgical
NPI 1003231002 · Surgery Physician · Saint Louis, MO
Provider details
- NPI number
- 1003231002
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rajeev Mysorekar, Manager(314) 359-5648
- License
- 108329 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8342 Delcrest Dr
Apt 303
Saint Louis, MO 63124-2100
Phone: (314) 359-5648
Street-level locationGet directions
Mailing address
8342 Delcrest Dr
Saint Louis, MO 63124-2100
Registry dates
- Enumerated
- 2014-02-27
- Last updated
- 2014-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.