Organization Active NPI

Midwest Pulmonary and Critical Care Consultants Inc

  • Pulmonary Disease Physician
  • Saint Louis, MO
National Provider Identifier
1023138369
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
R4P08 Issued in MO
Legal business name
MIDWEST PULMONARY AND CRITICAL CARE CONSULTANTS INC
Practice address
777 Craig Road
Suite 130
Saint Louis, MO 63141-7133
Phone
(314) 473-6183
Fax
(314) 552-7579
NPI assigned
Mar 30, 2007
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Nadeem Ahmed, MDNPI 1376546804
Title
Owner/Physician
Phone
(314) 473-6183

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)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X R4P08 MO Primary

Addresses

Primary practice location

777 Craig Road
Suite 130
Saint Louis, MO 63141-7133

Mailing address

777 Craig Road
Suite 130
Saint Louis, MO 63141-7133
Phone (314) 473-6183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080228000168 MO Part B Supplier - Clinic/Group Practice 7517041619 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO
O20110210000429 IL Part B Supplier - Clinic/Group Practice 7517041619 Practice locations: Nashville, IL

National Provider Directory

National Provider Directory

Locations

705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200

2345 Dougherty Ferry Rd
Ste 410
Saint Louis, MO 63122
Phone (314) 473-1507

505 Couch Ave
#380
Saint Louis, MO 63122
Phone (314) 821-8802

777 Craig Rd
Ste 115
Saint Louis, MO 63141
Phone (314) 473-1507

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1023138369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CRAIG ROAD",
            "address_2": "SUITE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417133",
            "telephone_number": "314-473-6183",
            "fax_number": "314-552-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CRAIG ROAD",
            "address_2": "SUITE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417133",
            "telephone_number": "314-473-6183",
            "fax_number": "314-552-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PULMONARY AND CRITICAL CARE CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "314-473-6183",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "R4P08",
            "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 Mar 30, 2023; 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.

Verify at the official NPI Registry.