Active NPI
Naresh J Solanki, M.D.
- Pediatric Adolescent Medicine Physician
- Lake St Louis, MO
National Provider Identifier
1225007412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- R2A26
- Practice address
- 100 Brevco PLZ
Suite 101
Lake St Louis, MO 63367-1392 - Phone
- (636) 561-5437
- Fax
- (636) 561-5100
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | R2A26 | MO | Primary |
Addresses
Primary practice location
100 Brevco PLZ
Suite 101
Lake St Louis, MO 63367-1392
Mailing address
100 Brevco PLZ
Suite 101
Lake St Louis, MO 63367-1392
Phone (636) 561-5437
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201171634 | Medicaid | MO | |
| 100957 | Other | MO | HEALTHLINK |
| 8630 | Other | MO | GROUP HEALTH PLAN |
| 1209358 | Other | MO | UNITED HEALTH CARE |
| 409446 | Other | MO | PRUDENTIAL |
| 7890 | Other | MO | BLUE SHIELD |
| PC11413 | Other | MO | CIGNA |
| 500012 | Other | MO | HEALTH PARTNERS |
| 5758046 | Other | MO | AETNA |
| F28413 | Other | MO | MERCY HEALTH PLAN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2A26 | MO | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wuca-Westside Pediatrics LLC | Current | Accepting new patients | |
| Naresh Solanki Inc | Adolescent Medicine | Past | Accepting new patients |
Locations
100 Brevco Plz
Ste 101
Lake St Louis, MO 63367
Phone (636) 561-5100
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.
-
- Pediatrics Physician
- Lake St Louis, MO
- NPI 1700325123
-
- Pediatric Adolescent Medicine Physician
- Lake St Louis, MO
- NPI 1316089022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1225007412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BREVCO PLZ",
"address_2": "SUITE 101",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633671392",
"telephone_number": "636-561-5437",
"fax_number": "636-561-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BREVCO PLZ",
"address_2": "SUITE 101",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633671392",
"telephone_number": "636-561-5437",
"fax_number": "636-561-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLANKI",
"first_name": "NARESH",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MO",
"license": "R2A26",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201171634",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "100957",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN",
"identifier": "8630",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1209358",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRUDENTIAL",
"identifier": "409446",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "7890",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PC11413",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "500012",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5758046",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLAN",
"identifier": "F28413",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.