Individual provider Active NPI

Patricia Sue Inman, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Chesterfield, MO
National Provider Identifier
1265546923
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
2006002912 Issued in MO
Practice address
400 Chesterfield Ctr
Suite 400
Chesterfield, MO 63017-4834
Phone
(314) 218-2222
Fax
(314) 218-2223
NPI assigned
Aug 19, 2006
Last updated
Dec 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 2006002912 MO Primary

Addresses

Primary practice location

400 Chesterfield Ctr
Suite 400
Chesterfield, MO 63017-4834

Mailing address

400 Chesterfield Ctr
Suite 400
Chesterfield, MO 63017-4834
Phone (314) 218-2222

Other identifiers 1

IdentifierTypeStateIssuer
200826907MedicaidMO

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
I20070216000025 MO Practitioner - Family PracticePractitioner - Geriatric Medicine 0840251344 Practice locations: Chesterfield, MO

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of St Louis Division of Fiscal Management Past Accepting new patients
Mercy Hospital South Past Accepting new patients
Harness Health Pharmacy - Central Pharmacy Services LLC Past Accepting new patients
Family Care of Fairfax PastSince Jul 26, 1993 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1265546923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHESTERFIELD CTR",
            "address_2": "SUITE 400",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174834",
            "telephone_number": "314-218-2222",
            "fax_number": "314-218-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHESTERFIELD CTR",
            "address_2": "SUITE 400",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174834",
            "telephone_number": "314-218-2222",
            "fax_number": "314-218-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INMAN",
        "first_name": "PATRICIA",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "2006002912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200826907",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.