OrganizationActive
Id Consultants, P.C.
NPI 1023113438 · Infectious Disease Physician · Festus, MO
Provider details
- NPI number
- 1023113438
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chandra Dommaraju, President(636) 933-2344
- License
- MO106962 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1400 US Highway 61 Ste 260
Festus, MO 63028-4101
Phone: (636) 933-2344
Fax: (636) 937-9031
Street-level locationGet directions
Mailing address
1400 US Highway 61 Ste 260
Festus, MO 63028-4101
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2021-04-26
- Certified
- 2021-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.