Active NPI
Sangeeta Pande MD LLC
- Nephrology Physician
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2000155017
- Legal business name
- SANGEETA PANDE MD LLC
- Practice address
- 12255 De Paul Dr Ste 845
Bridgeton, MO 63044 - Phone
- (314) 736-4800
- Fax
- (314) 736-4801
- NPI assigned
- Feb 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sangeeta Pande, MD
- Title
- MD
- Phone
- (314) 736-4800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 2000155017 | MO | Primary |
Addresses
Primary practice location
12255 De Paul Dr Ste 845
Bridgeton, MO 63044
Mailing address
PO Box 1449
Maryland Heights, MO 63043-0449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
2044 Madison Ave
Ste G15
Granite City, IL 62040
Phone (618) 452-8420
12255 De Paul Dr
Bridgeton, MO 63044
Phone (314) 291-5307
577 Howdershell Rd
Florissant, MO 63031
Phone (314) 831-2178
2125 Bluestone Dr
Saint Charles, MO 63303
Phone (636) 272-5856
12855 N 40 Dr
Ste LL4
Saint Louis, MO 63141
Phone (314) 542-0049
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
6512 Manchester Ave
Saint Louis, MO 63139
Phone (314) 646-7092
3691 Rutger St
#222
Saint Louis, MO 63110
Phone (314) 268-5300
2840 Target Dr
Saint Louis, MO 63136
Phone (314) 355-1322
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BIIECD
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Saint Peters, MO
- NPI 1447817952
-
- Nephrology Physician
- Bridgeton, MO
- NPI 1871567586
-
- Nurse Practitioner
- Saint Louis, MO
- NPI 1477653491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528070400000",
"number": "1013249606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1449",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630430449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 DE PAUL DR STE 845",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-736-4800",
"fax_number": "314-736-4801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANGEETA PANDE MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-05",
"last_updated": "2018-06-04",
"status": "A",
"authorized_official_last_name": "PANDE",
"authorized_official_first_name": "SANGEETA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "314-736-4800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "MO",
"license": "2000155017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.