OrganizationActive
Southside Medical Group PC
NPI 1912101486 · Specialist · Saint Louis, MO
Provider details
- NPI number
- 1912101486
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Subodh Mehra, Doctor(314) 638-9100
- License
- R77046 (MO)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 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
9700 Mackenzie Rd Ste 105
Saint Louis, MO 63123-5423
Phone: (314) 638-9100
Street-level locationGet directions
Mailing address
9700 Mackenzie Rd Ste 105
Saint Louis, MO 63123-5423
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2009-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.