Active NPI
Korgi V Hegde, M.D.
- Pulmonary Disease Physician
- Saint Louis, MO
National Provider Identifier
1043290588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- R7446
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101893 | Other | MO | GHP/ADVANTRA - COVENTRY |
| 4331147 | Other | AETNA | |
| 152780 | Other | MO | BLUE PRODUCTS |
| 100652 | Other | MO | HEALTHLINK |
| 201014115 | Medicaid | MO | |
| 4800233 | Other | MO | UNITED 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caduceus Corporation | Pulmonary Disease | Past | 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.
-
- Pulmonary Disease Physician
- Saint Louis, MO
- NPI 1053364620
-
- Pulmonary Disease Physician
- Saint Louis, MO
- NPI 1295785848
-
- Physiological Laboratory
- Saint Louis, MO
- NPI 1750475588
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.