Individual provider Active NPI

Serhat Tunc, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Saint Louis, MO
National Provider Identifier
1215769658
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Saint Louis University School of Medicine, Department O
1438 South Grand Blvd
Saint Louis, MO 63104
Phone
(314) 617-2727
Fax
(314) 977-4876
NPI assigned
Aug 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 2024032607 MO
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Saint Louis University School of Medicine, Department O
1438 South Grand Blvd
Saint Louis, MO 63104

Mailing address

Saint Louis University School of Medicine, Department O
1438 South Grand Blvd
Saint Louis, MO 63104
Phone (314) 617-2727

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
I20250602001200 MO Order and Referring Only - Geriatric PsychiatryPractitioner - Geriatric Psychiatry 0941719918

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024032607MOMDGeriatric Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1215769658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE, DEPARTMENT O",
            "address_2": "1438 SOUTH GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-617-2727",
            "fax_number": "314-977-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE, DEPARTMENT O",
            "address_2": "1438 SOUTH GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-617-2727",
            "fax_number": "314-977-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNC",
        "first_name": "SERHAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MO",
            "license": "2024032607",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.