Individual provider Active NPI

Arya W Namin, MD

  • Otolaryngology Physician
  • Saint Louis, MO
National Provider Identifier
1023419405
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2023020915 Issued in MO
Practice address
607 S New Ballas Rd Ste 2300
Saint Louis, MO 63141-8234
Phone
(314) 251-6394
Fax
(314) 251-4235
NPI assigned
Sep 4, 2014
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2023020915 MO Primary

Addresses

Primary practice location

607 S New Ballas Rd Ste 2300
Saint Louis, MO 63141-8234

Mailing address

607 S New Ballas Rd Ste 2300
Saint Louis, MO 63141-8234
Phone (314) 251-6394

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
I20230622002793 MO Practitioner - Otolaryngology 0143512517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Saint Louis University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic ENT LLCGroup PAC ID 7517118813, 12 clinicians

Practice addresses (Care Compare)

607 S New Ballas Rd
2300 Mercy Clinic Ear Nose Throat Dav
Saint Louis, MO 63141-8234
Phone (314) 251-6394

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023020915MOMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic ENT LLC Otolaryngology CurrentSince Jun 12, 2023 Accepting new patients
Sound Health Services P.C. Otolaryngology CurrentSince Jun 12, 2023 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

15945 Clayton Rd
Ste 360A
Ballwin, MO 63011
Phone (314) 251-6394

607 S New Ballas Rd
Ste 2300
Saint Louis, MO 63141
Phone (314) 251-6394

901 Patients First Dr
#3500
Washington, MO 63090
Phone (636) 390-1570

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • IA HMO C-SNP
  • IA HMO

Interoperability endpoints

  • Direct secure messaging: anamin1740729@direct.texashealth.org

Organizations & group practices 3

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 4

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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1023419405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD STE 2300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418234",
            "telephone_number": "314-251-6394",
            "fax_number": "314-251-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD STE 2300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418234",
            "telephone_number": "314-251-6394",
            "fax_number": "314-251-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMIN",
        "first_name": "ARYA",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2023020915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.