NPIMap

Individual provider Active NPI

Nadeem D Parkar, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1235121013
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
119542 Issued in MO
Practice address
3635 Vista at Grand
Radiology Dept - Sluh
Saint Louis, MO 63110-0250
Phone
(314) 268-5782
Fax
(314) 268-5116
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 119542 MO
Body Imaging Physician 2085B0100X MO0119542 MO
Pediatric Radiology Physician 2085P0229X MO0119542 MO
Diagnostic Radiology Physician 2085R0202X 119542 MO Primary
Diagnostic Ultrasound Physician 2085U0001X MO0119542 MO

Addresses

Primary practice location

3635 Vista at Grand
Radiology Dept - Sluh
Saint Louis, MO 63110-0250

Mailing address

3635 Vista at Grand
Radiology Dept - Sluh
Saint Louis, MO 63110-0250
Phone (314) 268-5782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050119001092 MO Practitioner - Diagnostic RadiologyPractitioner - Critical Care (Intensivists) 2365491016 Reassigns benefits to 2 organizations
I20050803000066 OH Practitioner - Diagnostic RadiologyPractitioner - Critical Care (Intensivists) 2365491016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic Medical Services CompanyGroup PAC ID 5698674653, 201 clinicians
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 476-7000

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 257-7400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MO0119542MOMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Aug 7, 2018 Accepting new patients
SSM Cardinal Glennon Children's Hospital CurrentSince Jul 1, 2012 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Wooster Clinic, LLC CurrentSince Aug 7, 2018 Accepting new patients
Clinic Medical Services Company LLC Pediatric Radiology CurrentSince Aug 1, 2018 Accepting new patients
SSM Cardinal Glennon Childrens Hospital Body Imaging CurrentSince Jul 1, 2012 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1235121013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 VISTA AT GRAND",
            "address_2": "RADIOLOGY DEPT - SLUH",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631100250",
            "telephone_number": "314-268-5782",
            "fax_number": "314-268-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 VISTA AT GRAND",
            "address_2": "RADIOLOGY DEPT - SLUH",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631100250",
            "telephone_number": "314-268-5782",
            "fax_number": "314-268-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKAR",
        "first_name": "NADEEM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "119542",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MO",
            "license": "MO0119542",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MO",
            "license": "MO0119542",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "119542",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MO",
            "license": "MO0119542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.