NPIMap

Individual provider Active NPI

Keerthana Anand, M.D, M.B.B.S., M.S.

  • Family Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1093240897
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023039089 Issued in MO
Practice address
15838 Fountain Plaza Dr Ste a
Chesterfield, MO 63017-7469
Phone
(636) 484-5220
NPI assigned
Apr 29, 2017
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S7167 TX
Family Medicine Physician 207Q00000X 36931 OK
Family Medicine Physician 207Q00000X 2023039089 MO Primary

Addresses

Primary practice location

15838 Fountain Plaza Dr Ste a
Chesterfield, MO 63017-7469

Mailing address

15838 Fountain Plaza Dr Ste a
Chesterfield, MO 63017-7469
Phone (636) 484-5220

Other practice location 1

1701 E Pflugerville Pkwy
Pflugerville, TX 78660-8990
Phone (512) 259-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103003128 MO Practitioner - Family Practice 6507131927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians

Practice addresses (Care Compare)

15425 Manchester Rd
Ballwin, MO 63011-3077
Phone (636) 220-6969

15838 Fountain Plaza Dr
Suite a
Chesterfield, MO 63017-7469
Phone (314) 996-7272

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Groups LC Family Medicine CurrentSince Nov 12, 2023 Accepting new patients
Physician Groups LC CurrentSince Nov 12, 2023 Accepting new patients

Locations

15838 Fountain Plaza Dr
Ste A
Chesterfield, MO 63017
Phone (636) 484-5220

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

Interoperability endpoints

  • Direct secure messaging: kanand873187@direct.sw.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 6

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": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1093240897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15838 FOUNTAIN PLAZA DR STE A",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177469",
            "telephone_number": "636-484-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15838 FOUNTAIN PLAZA DR STE A",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177469",
            "telephone_number": "636-484-5220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 E Pflugerville Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786608990",
            "country_code": "US",
            "telephone_number": "512-259-6000",
            "fax_number": "512-260-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANAND",
        "first_name": "KEERTHANA",
        "credential": "M.D, M.B.B.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-29",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S7167",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "36931",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023039089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15838 Fountain Plaza Dr Ste A",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630177469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.