Active NPI
Ali Akbar Mehdirad, M.D.
- Clinical Cardiac Electrophysiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- R5G76
- Practice address
- 777 S New Ballas Rd
Suite 300E
Saint Louis, MO 63141-8705 - Phone
- (314) 432-7839
- Fax
- (314) 432-4839
- NPI assigned
- Apr 19, 2006
- Last updated
- Jul 13, 2009
- 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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | R5G76 | MO | Primary |
Addresses
Primary practice location
777 S New Ballas Rd
Suite 300E
Saint Louis, MO 63141-8705
Mailing address
PO Box 952273
Saint Louis, MO 63195-2273
Phone (314) 432-2580
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431908828 | Other | MO | TAX ID# |
| 505207209 | Medicaid | MO | |
| CH4229 | Other | MO | RR MEDICARE GROUP# |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5G76 | MO | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Py Medical Services of Mo PC | Current | Accepting new patients | |
| Midwest Heart Rhythm Incorporated | Clinical Cardiac Electrophysiology | Past | Accepting new patients |
Locations
10954 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 843-4242
2939 Magazine St
Saint Louis, MO 63106
Phone (314) 531-0500
110 Highland Ave
Valley Park, MO 63088
Phone (636) 225-5144
3438 Bell Blvd
Ste 301
Bayside, NY 11361
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1316799042
-
- Clinical Cardiac Electrophysiology Physician
- Chesterfield, MO
- NPI 1548287527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1093770257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 952273",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631952273",
"telephone_number": "314-432-2580",
"fax_number": "314-432-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 S NEW BALLAS RD",
"address_2": "SUITE 300E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418705",
"telephone_number": "314-432-7839",
"fax_number": "314-432-4839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHDIRAD",
"first_name": "ALI",
"middle_name": "AKBAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MO",
"license": "R5G76",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "431908828",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "505207209",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP#",
"identifier": "CH4229",
"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 Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.