Individual provider Active NPI

Sangeeta Pande, MD

  • Nephrology Physician
  • Saint Louis, MO
National Provider Identifier
1154375970
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2000155017 Issued in MO
Practice address
11125 Dunn Rd
Suite 206
Saint Louis, MO 63136-6132
Phone
(314) 741-1600
Fax
(314) 741-1677
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2000155017 MO Primary

Addresses

Primary practice location

11125 Dunn Rd
Suite 206
Saint Louis, MO 63136-6132

Mailing address

11155 Dunn Rd
Ste 211N
Saint Louis, MO 63136-6166
Phone (314) 741-1600

Other identifiers 2

IdentifierTypeStateIssuer
209092907MedicaidMO
431965218OtherMOEMPLOYER TAX ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041105000217 MO Practitioner - NephrologyPractitioner - Internal Medicine 2860455433 Reassigns benefits to 1 organization
I20120914000657 IL Practitioner - NephrologyPractitioner - Internal Medicine 2860455433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sangeeta Pande MD LLCGroup PAC ID 7214064161, 3 clinicians

Practice addresses (Care Compare)

10951 Saint Charles Rock Rd
Saint Ann, MO 63074-1505
Phone (314) 739-7339

12255 De Paul Dr
Bridgeton, MO 63044-2510
Phone (314) 741-1677

12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000

12380 Depaul Dr
SSM Select Rehab St Louis LLC
Bridgeton, MO 63044-2511
Phone (314) 447-9818

13015 New Halls Ferry Rd
Davita North Halls Ferry Rd
Florissant, MO 63033-3236
Phone (314) 931-1113

2044 Madison Ave
Granite City, IL 62040-4641
Phone (618) 452-8420

25 N Oaks PLZ
Metro Dialysis Center
Saint Louis, MO 63121-2911
Phone (314) 389-4105

3 Grandview Plaza Shopping Ctr
Florissant, MO 63033-6105
Phone (314) 831-7990

335 Mid Rivers Mall Dr
Saint Peters, MO 63376-1516
Phone (636) 970-3730

3691 Rutger St
Suite 222
Saint Louis, MO 63110-2515
Phone (314) 268-5300

577 Howdershell Rd
Florissant, MO 63031-6401
Phone (314) 831-2178

6850 Olive Blvd
Saint Louis, MO 63130-2520
Phone (314) 726-0378

6865 Parker Rd
Florissant, MO 63033-5312
Phone (314) 653-6100

Hospital & facility affiliations

  • FMC - Florissant Dialysis facility, Florissant, MO, CCN 262633
  • FMC - St Louis Northeast Dialysis facility, Saint Louis, MO, CCN 262681
  • Bma St. Louis Dialysis facility, Saint Ann, MO, CCN 262507
  • Quality Care Dialysis Centers - North County Dialysis facility, Florissant, MO, CCN 262535
  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sangeeta Pande MD LLC Nephrology CurrentSince Feb 1, 2010 Accepting new patients

Locations

2044 Madison Ave
Ste G15
Granite City, IL 62040
Phone (618) 452-8420

12255 De Paul Dr
Ste 845
Bridgeton, MO 63044
Phone (314) 736-4800

13015 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 931-1113

11155 Dunn Rd
Ste 211N
Saint Louis, MO 63136
Phone (314) 355-0018

11155 Dunn Rd
Ste 207N
Saint Louis, MO 63136
Phone (314) 355-8349

9 Lincoln Ctr
Ste A
Troy, MO 63379
Phone (636) 462-4910

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIIECD/Endpoint/BIIECD

Organizations & group practices 1

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.

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1154375970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD",
            "address_2": "STE 211N",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366166",
            "telephone_number": "314-741-1600",
            "fax_number": "314-741-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD",
            "address_2": "SUITE 206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-741-1600",
            "fax_number": "314-741-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDE",
        "first_name": "SANGEETA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2000155017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209092907",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER TAX ID#",
            "identifier": "431965218",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.