Active NPI
Athmaram Shetty, M.D.
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 104222
- Practice address
- 7345 Watson Rd
Saint Louis, MO 63119-4405 - Phone
- (314) 752-7100
- Fax
- (314) 752-3284
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 104222 | MO | Primary |
Addresses
Primary practice location
7345 Watson Rd
Saint Louis, MO 63119-4405
Mailing address
7345 Watson Rd
Saint Louis, MO 63119-4405
Phone (314) 752-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209776806 | Medicaid | MO |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7345 Watson Rd
Suite 201
Saint Louis, MO 63119-9804
Phone (314) 752-7100
Hospital & facility affiliations
- Amedisys Home Health of Missouri
- FV at Home by Friendship Village
- Mercy Home Health
- Mercy Hospice
- Mercy Hospital South
- Mercy Hospital St Louis
- St Lukes Hospital
- Mercy Hospital Jefferson
- SSM Health Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic East Communities | Current | Accepting new patients |
Locations
12700 Southfork Rd
Ste 280
Saint Louis, MO 63128
Phone (314) 525-4990
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
7345 Watson Rd
Saint Louis, MO 63119
Phone (314) 633-8558
5425 Southfield Ctr
Saint Louis, MO 63123
Phone (314) 543-5258
7345 Watson Rd
Ste 201
Saint Louis, MO 63119
Phone (314) 752-7100
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
9735 Landmark Parkway Dr
Ste 200
Saint Louis, MO 63127
Phone (314) 525-1887
Interoperability endpoints
- ashetty992391@directc.mercy.net
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1720635329
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hillsboro, MO
- NPI 1164433041
-
- Home Health Agency
- Chesterfield, MO
- NPI 1700347275
-
- Home Health Agency
- Saint Louis, MO
- NPI 1154407112
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1487739033
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1164416145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7345 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631194405",
"telephone_number": "314-752-7100",
"fax_number": "314-752-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631194405",
"telephone_number": "314-752-7100",
"fax_number": "314-752-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETTY",
"first_name": "ATHMARAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "104222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209776806",
"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 Mar 14, 2017; 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.