Active NPI
Muhammad Ishaq Chishti, M.D.
- Ophthalmology Physician
- Saint Louis, MO
National Provider Identifier
1053428920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R5030
- Practice address
- 6680 Chippewa St
Suite 220
Saint Louis, MO 63109-2537 - Phone
- (314) 351-0101
- Fax
- (314) 351-4697
- NPI assigned
- Aug 24, 2006
- Last updated
- Jan 22, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | R5030 | MO | Primary |
Addresses
Primary practice location
6680 Chippewa St
Suite 220
Saint Louis, MO 63109-2537
Mailing address
6680 Chippewa St
Suite 220
Saint Louis, MO 63109-2537
Phone (314) 351-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 319610516 | Other | MO | MEDICARE PTAN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1053428920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6680 CHIPPEWA ST",
"address_2": "SUITE 220",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631092537",
"telephone_number": "314-351-0101",
"fax_number": "314-351-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6680 CHIPPEWA ST",
"address_2": "SUITE 220",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631092537",
"telephone_number": "314-351-0101",
"fax_number": "314-351-4697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISHTI",
"first_name": "MUHAMMAD",
"middle_name": "ISHAQ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "R5030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "319610516",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- Chiropractic & Acupuncture Associates, P.C. (Kingen Chiropractic Wellness Center)
- Chiropractic Centre of Crestwood Inc.
- Chiropractic Centre-Olive/270,LLC
- Chiropractic of North County, LLC
- Chisholm Martin Polite LLC
- Mary Beth Chismarich, M.D.
- Jesse R Chisum, BSN,RN
- Angie Renee Chitty-Kloeppel, PHARMD
- Abigail Thuet Chitwood, M.D.
- Andrew Chitwood, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.