Active NPI
Sangeeta Pande, MD
- Nephrology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2000155017
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209092907 | Medicaid | MO | |
| 431965218 | Other | MO | EMPLOYER TAX ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- FMC - St Louis Northeast
- Bma St. Louis
- Quality Care Dialysis Centers - North County
- SSM Health Depaul Hospital St Louis
- Christian Hospital Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sangeeta Pande MD LLC | Nephrology | Current | 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
- https://fhir4.healow.com/fhir/r4/BIIECD
- 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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saint Louis, MO
- NPI 1073986675
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Florissant, MO
- NPI 1174635064
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Florissant, MO
- NPI 1184860371
Dialysis facility
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.