Individual provider Active NPI

Keshav Shivram Joshi, M.D.

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1023070810
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R4B81 Issued in MO
Practice address
12855 N 40 Dr
Suite 275
Saint Louis, MO 63141-8657
Phone
(314) 469-6200
Fax
(314) 469-6206
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R4B81 MO Primary
Pain Medicine Physician 208VP0000X R4B81 MO

Addresses

Primary practice location

12855 N 40 Dr
Suite 275
Saint Louis, MO 63141-8657

Mailing address

1207 Maple St
Farmington, MO 63640-7616
Phone (573) 756-3000

Other identifiers 1

IdentifierTypeStateIssuer
MA1140005OtherMOMEDICARE PTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090319000449 MO Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 9739187212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aim Anesthesia LLCGroup PAC ID 3971896705, 14 clinicians

Practice addresses (Care Compare)

3550 McKelvey Rd
Bridgeton, MO 63044-2535
Phone (314) 741-0911

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Anesthesia LLC Anesthesiology CurrentSince May 1, 2019 Accepting new patients
Anesthesia Care of Effingham, SC Anesthesiology Past Accepting new patients

Locations

3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048

12855 N 40 Dr
Ste 275
Saint Louis, MO 63141
Phone (314) 312-4034

12855 N 40 Dr
Ste 275S
Saint Louis, MO 63141

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1023070810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 MAPLE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407616",
            "telephone_number": "573-756-3000",
            "fax_number": "573-756-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR",
            "address_2": "SUITE 275",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418657",
            "telephone_number": "314-469-6200",
            "fax_number": "314-469-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "KESHAV",
        "middle_name": "SHIVRAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "R4B81",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MO",
            "license": "R4B81",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MA1140005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.