Active NPI
Molina Bhatnagar Dayal, MD
- Reproductive Endocrinology Physician
- St. Louis, MO
National Provider Identifier
1124092556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 2012022438
- Practice address
- 555 New Ballas Rd
Ste 150
St. Louis, MO 63141 - Phone
- (314) 983-9000
- Fax
- (314) 983-9023
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 2012022438 | MO | Primary |
Addresses
Primary practice location
555 New Ballas Rd
Ste 150
St. Louis, MO 63141
Mailing address
5320 S. Rainbow Blvd
Ste 300
Las Vegas, NV 89119-1840
Phone (702) 794-0073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034864300 | Medicaid | DC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012022438 | MO | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stlfertility LLC | Reproductive Endocrinology | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Integramed Medical Missouri, LLC | Reproductive Endocrinology | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
555 N New Ballas Rd
Ste 150
Saint Louis, MO 63141
Phone (314) 983-9000
Organizations & group practices 4
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.
-
- Reproductive Endocrinology Physician
- Saint Louis, MO
- NPI 1336766492
-
- Reproductive Endocrinology Physician
- Saint Louis, MO
- NPI 1275957169
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1124092556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 S. RAINBOW BLVD",
"address_2": "STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891191840",
"telephone_number": "702-794-0073",
"fax_number": "701-794-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 NEW BALLAS RD",
"address_2": "STE 150",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-983-9000",
"fax_number": "314-983-9023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYAL",
"first_name": "MOLINA",
"middle_name": "BHATNAGAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MO",
"license": "2012022438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034864300",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.