Individual provider Active NPI

Jahnavi Handa, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1194829465
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200407277 Issued in MO
Practice address
12738 Wynfield Pines CT
Saint Louis, MO 63131-2156
Phone
(314) 965-5220
Fax
(314) 965-0176
NPI assigned
Sep 8, 2006
Last updated
Mar 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 200407277 MO Primary

Addresses

Primary practice location

12738 Wynfield Pines CT
Saint Louis, MO 63131-2156

Mailing address

12738 Wynfield Pines CT
Saint Louis, MO 63131-2156
Phone (314) 965-5220

Other identifiers 1

IdentifierTypeStateIssuer
208748707MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050122000179 MO Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 1052361557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5300 Butler Hill Rd
Saint Louis, MO 63128-4152
Phone (314) 842-0588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200407277MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Psychiatry Consultants LLC Psychiatry CurrentSince Sep 8, 2004 Accepting new patients
Michael D Weiss DPM and Associates, LLC Past Accepting new patients

Locations

5300 Butler Hill Rd
Saint Louis, MO 63128
Phone (314) 766-2066

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1194829465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12738 WYNFIELD PINES CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312156",
            "telephone_number": "314-965-5220",
            "fax_number": "314-596-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12738 WYNFIELD PINES CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312156",
            "telephone_number": "314-965-5220",
            "fax_number": "314-965-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDA",
        "first_name": "JAHNAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "200407277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208748707",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.