John D Radke, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

28630 Issued in MO

Practice address

6150 Oakland Ave
Saint Louis, MO 63139-3215

Phone

(314) 768-3090

Fax

(314) 768-3031

NPI assigned

May 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardiology Consultants LTD

  • Internal Medicine Physician
  • Chesterfield, MO
  • NPI 1497999049
  NPD (past) Authorized official
• Generations Family Medicine PC

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1023048907
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013962133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 PEBBLE BROOK LN",
            "address_2": "HMAI",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217609",
            "telephone_number": "618-779-5508",
            "fax_number": "618-206-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OAKLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393215",
            "telephone_number": "314-768-3090",
            "fax_number": "314-768-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADKE",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "28630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radha Geismann MD PC
• Radha Devi Radhakrishna Pillai, MD
• Harlan Radinsky, B.S.
• Radiology and Imaging Management Services, LLC (Excel Imaging)
• Connie Sue Radke, APRN-NP
• Shelah Radke, M.D., J.D.
• Patrick John Radler, FNP-C
• Kristina Radoulova, M.D.
• Zachary Picker Radwine, M.D.
• Benjamin Weston Rael, MD

• Cardiovascular Disease Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.