NPIMap

Organization Active NPI

St. Louis Internal Medicine Inc

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1104856442
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NA Issued in MO
Legal business name
ST. LOUIS INTERNAL MEDICINE INC
Practice address
5000 Cedar Plaza Pkwy Ste 300
Saint Louis, MO 63128-3891
Phone
(314) 647-9797
Fax
(314) 270-8520
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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

Authorized official

Name
Dr. Brij R Vaid, MD
Title
President
Phone
(314) 543-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NA MO Primary

Addresses

Primary practice location

5000 Cedar Plaza Pkwy Ste 300
Saint Louis, MO 63128-3891

Mailing address

5000 Cedar Plaza Parkway
Suite 300
Saint Louis, MO 63128-3441
Phone (314) 647-9797

Other identifiers 3

IdentifierTypeStateIssuer
505083808MedicaidMO
81878OtherMOGROUP HEALTH PLAN
5746972OtherMOCIGNA

National Provider Directory

National Provider Directory

Locations

2335 Dougherty Ferry Rd
#A
Saint Louis, MO 63122
Phone (314) 966-9888

8449 Jennings Station Rd
Saint Louis, MO 63136
Phone (314) 485-5845

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1104856442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PARKWAY",
            "address_2": "SUITE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283441",
            "telephone_number": "314-647-9797",
            "fax_number": "314-270-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283891",
            "telephone_number": "314-647-9797",
            "fax_number": "314-270-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS INTERNAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "VAID",
        "authorized_official_first_name": "BRIJ",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-543-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505083808",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "81878",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5746972",
            "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 Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.