Organization Active NPI

M.F. Ghani, M.D., Services, Inc.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1245365832
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R4716 Issued in MO
Legal business name
M.F. GHANI, M.D., SERVICES, INC.
Practice address
3915 Watson Rd
Saint Louis, MO 63109-1251
Phone
(314) 644-5300
Fax
(314) 644-5308
NPI assigned
Feb 22, 2007
Last updated
Mar 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Dr. Mohammad F Ghani, M.D.NPI 1629028964
Title
President
Phone
(314) 644-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R4716 MO Primary

Addresses

Primary practice location

3915 Watson Rd
Saint Louis, MO 63109-1251

Mailing address

PO Box 240106
Ballwin, MO 63024-0106
Phone (314) 644-5300

Other identifiers 1

IdentifierTypeStateIssuer
200761310MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090511000031 MO Part B Supplier - Clinic/Group Practice 4284782780 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

6651 Chippewa St
Ste 203
Saint Louis, MO 63109
Phone (314) 644-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1245365832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240106",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630240106",
            "telephone_number": "314-644-5300",
            "fax_number": "314-644-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091251",
            "telephone_number": "314-644-5300",
            "fax_number": "314-644-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.F. GHANI, M.D., SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "GHANI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-644-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R4716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200761310",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.