Gateway Geriatric Services LLC
NPI 1114219417 · Geriatric Medicine (Internal Medicine) Physician · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gateway Geriatric Services LLC is a Geriatric Medicine (Internal Medicine) Physician organization in Saint Louis, MO (NPI 1114219417).
Provider details
- NPI number
- 1114219417
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shailaja Pulisetty, Physician/President(314) 225-6015
- License
- 2005019644 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2011-05-05
- Last updated
- 2011-07-13
Frequently asked questions
- What is Gateway Geriatric Services LLC's NPI number?
- Gateway Geriatric Services LLC's National Provider Identifier (NPI) is 1114219417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gateway Geriatric Services LLC?
- Gateway Geriatric Services LLC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Gateway Geriatric Services LLC located?
- Gateway Geriatric Services LLC's practice location on file with NPPES is 12026 Conway Rd, Saint Louis, MO 63131-2417.
- What is Gateway Geriatric Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Gateway Geriatric Services LLC is (314) 225-6015.
- Does Gateway Geriatric Services LLC accept Medicare?
- Gateway Geriatric Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gateway Geriatric Services LLC?
- The authorized official listed on Gateway Geriatric Services LLC's NPPES record is Shailaja Pulisetty, Physician/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gateway Geriatric Services LLC's NPI active?
- Yes — Gateway Geriatric Services LLC's NPI (1114219417) is active in the NPPES registry as of the last update on 2011-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.