Individual provider Active NPI

Korgi V Hegde, M.D.

  • Pulmonary Disease Physician
  • Saint Louis, MO
National Provider Identifier
1043290588
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
R7446 Issued in MO
Practice address
2531 S Big Bend Blvd
Suite 3
Saint Louis, MO 63143-2112
Phone
(314) 645-5855
Fax
(314) 645-6446
NPI assigned
Jan 19, 2006
Last updated
May 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X R7446 MO Primary

Addresses

Primary practice location

2531 S Big Bend Blvd
Suite 3
Saint Louis, MO 63143-2112

Mailing address

PO Box 797043
Saint Louis, MO 63177-7043
Phone (314) 645-5855

Other identifiers 6

IdentifierTypeStateIssuer
101893OtherMOGHP/ADVANTRA - COVENTRY
4331147OtherAETNA
152780OtherMOBLUE PRODUCTS
100652OtherMOHEALTHLINK
201014115MedicaidMO
4800233OtherMOUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caduceus Corporation Pulmonary Disease PastSince Dec 14, 1996 Accepting new patients
Clayton Sleep Institute, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1043290588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797043",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631777043",
            "telephone_number": "314-645-5855",
            "fax_number": "314-645-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 S BIG BEND BLVD",
            "address_2": "SUITE 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631432112",
            "telephone_number": "314-645-5855",
            "fax_number": "314-645-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGDE",
        "first_name": "KORGI",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "R7446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP/ADVANTRA - COVENTRY",
            "identifier": "101893",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4331147",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PRODUCTS",
            "identifier": "152780",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "100652",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201014115",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4800233",
            "state": "MO"
        }
    ],
    "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 May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.