Individual provider Active NPI

Manoj Parimi, MD

  • Pediatric Cardiology Physician
  • Saint Louis, MO
National Provider Identifier
1205255379
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
2017011295 Issued in MO
Practice address
621 S New Ballas Rd Ste 198a
Saint Louis, MO 63141-8255
Phone
(314) 251-6777
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 2017011295 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 198a
Saint Louis, MO 63141-8255

Mailing address

621 S New Ballas Rd Ste 198a
Saint Louis, MO 63141-8255
Phone (314) 251-6777

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
I20200723002692 MO Practitioner - Pediatric Medicine 5395047849

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1205255379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 198A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418255",
            "telephone_number": "314-251-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 198A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418255",
            "telephone_number": "314-251-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIMI",
        "first_name": "MANOJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MO",
            "license": "2017011295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.