Individual provider Active NPI

Ashwin Mani, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • St. Louis, MO
National Provider Identifier
1255641684
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2010025680 Issued in MO
Practice address
999 Executive Parkway
Ste 210
St. Louis, MO 63141
Phone
(314) 514-6005
Fax
(866) 497-1239
NPI assigned
Oct 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2010025680 MO Primary

Addresses

Primary practice location

999 Executive Parkway
Ste 210
St. Louis, MO 63141

Mailing address

999 Executive Parkway
Ste 210
St. Louis, MO 63141
Phone (314) 514-6005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010025680MOMDCritical Care Medicine (Internal Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: amani305878@ecommunitydirect.com
  • Direct secure messaging: amani82169@direct-ehr-ssmhc.com

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1255641684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 EXECUTIVE PARKWAY",
            "address_2": "STE 210",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-514-6005",
            "fax_number": "866-497-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 EXECUTIVE PARKWAY",
            "address_2": "STE 210",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-514-6005",
            "fax_number": "866-497-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANI",
        "first_name": "ASHWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "2010025680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.