NPIMap

Individual provider Active NPI

Chantri Trinh, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Louis, MO
National Provider Identifier
1023026804
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
2003017187 Issued in MO
Practice address
3660 Vista
St Louis, MO 63110
Phone
(314) 977-8462
Fax
(314) 771-8575
NPI assigned
Aug 4, 2006
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 2003017187 MO Primary

Addresses

Primary practice location

3660 Vista
St Louis, MO 63110

Mailing address

4675 S Grand Blvd
Saint Louis, MO 63111-1462
Phone (314) 977-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000319 MO Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5799761953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geromed LLCGroup PAC ID 8820061187, 2 clinicians

Practice addresses (Care Compare)

4675 S Grand Blvd
Saint Louis, MO 63111-1462

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.18 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Geromed, LLC Geriatric Medicine CurrentSince Jun 1, 2004 Accepting new patients
BBW Management Group, LLC Past Accepting new patients
Consolidated Resources Health Care Fund I, L.P. Past Accepting new patients
Clayton Road Healthcare LLC Past Accepting new patients
Hospitalmd of Troy Ip, Inc. Past Accepting new patients
Hospitalmd of Troy, Inc. Past Accepting new patients
Blooming Oaks Wellness & Rehabilitation LLC Past Accepting new patients
Des Peres Healthcare, LLC Past Accepting new patients
Anesthesia and Pain Consultants,P.C. PastSince Mar 1, 2000 Accepting new patients
NHC Healthcare-Maryland Heights LLC Past Accepting new patients
Clay Street Healthcare LLC Past Accepting new patients

Locations

4675 S Grand Blvd
Saint Louis, MO 63111
Phone (314) 752-8600

Organizations & group practices 11

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1023026804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111462",
            "telephone_number": "314-977-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 VISTA",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-977-8462",
            "fax_number": "314-771-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "CHANTRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "2003017187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.