Individual provider Active NPI

Machalle Akhtar Mughal

  • Family Nurse Practitioner
  • Creve Coeur, MO
National Provider Identifier
1083339089
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022038662 Issued in MO
Practice address
11560 Olive Blvd
Creve Coeur, MO 63141-7111
Phone
(314) 995-7128
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022038662 MO Primary

Addresses

Primary practice location

11560 Olive Blvd
Creve Coeur, MO 63141-7111

Mailing address

11560 Olive Blvd
Creve Coeur, MO 63141-7111

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221208000197 MO Practitioner - Nurse Practitioner 0840669115 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NP Health of Mo LLC CurrentSince May 7, 2024 Accepting new patients
Care Talk Health FL PA CurrentSince Aug 1, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

4401 Parker Rd
Black Jack, MO 63033
Phone (314) 312-0720

10 Lake Dr
Bonne Terre, MO 63628
Phone (573) 358-2800

6400 The Cedars Ct
Cedar Hill, MO 63016
Phone (636) 274-1777

14855 North Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 532-0150

850 Country Manor Ln
Saint Louis, MO 63141
Phone (314) 434-5900

13995 Clayton Rd
Twn and Cntry, MO 63017
Phone (636) 227-5070

Interoperability endpoints

  • Direct secure messaging: machalle.mughal.1@28492.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1083339089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417111",
            "telephone_number": "314-995-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGHAL",
        "first_name": "MACHALLE",
        "middle_name": "AKHTAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022038662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.