Active NPI
Rushaniya Albeptovna Khairova, MD
- Psychiatry Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2013026064
- Practice address
- 24 S Kingshighway Blvd
Saint Louis, MO 63108-1301 - Phone
- (314) 286-1700
- Fax
- (314) 286-1730
- NPI assigned
- Oct 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2013026064 | MO | Primary |
Addresses
Primary practice location
24 S Kingshighway Blvd
Saint Louis, MO 63108-1301
Mailing address
660 S Euclid Ave
C B 8134
Saint Louis, MO 63110-1010
Phone (314) 286-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647
1438 S Grand Blvd
Saint Louis, MO 63104-1027
Phone (314) 977-6082
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Psychiatry | Current | Accepting new patients |
| SSM Health Care Group | Current | Accepting new patients | |
| SLH Physicians LLC | Psychiatry | Current | Accepting new patients |
Locations
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1438 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 977-4828
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
Interoperability endpoints
- rkhairova399371@direct-ehr-ssmhc.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1003856592
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1013243476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "C B 8134",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-286-1700",
"fax_number": "314-286-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 S KINGSHIGHWAY BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081301",
"telephone_number": "314-286-1700",
"fax_number": "314-286-1730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAIROVA",
"first_name": "RUSHANIYA",
"middle_name": "ALBEPTOVNA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-20",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2013026064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.