Organization Active NPI

Gopal K Nair, MD, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chesterfield, MO
National Provider Identifier
1285881912
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
R8341 Issued in MO
Legal business name
GOPAL K NAIR, MD, PC
Practice address
1023 Arlington Oaks Ter
Chesterfield, MO 63017-5936
Phone
(314) 434-0640
Fax
(636) 566-8732
NPI assigned
Aug 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Dr. Gopal K Nair, M.D.
Title
President
Phone
(314) 434-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X R8341 MO Primary

Addresses

Primary practice location

1023 Arlington Oaks Ter
Chesterfield, MO 63017-5936

Mailing address

1023 Arlington Oaks Ter
Chesterfield, MO 63017-5936
Phone (314) 434-0640

Other identifiers 1

IdentifierTypeStateIssuer
200951630MedicaidMO

National Provider Directory

National Provider Directory

Locations

2069 Zumbehl Rd
Saint Charles, MO 63303
Phone (636) 298-7444

1221 Boones Lick Rd
Saint Charles, MO 63301
Phone (636) 946-6140

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1285881912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 ARLINGTON OAKS TER",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175936",
            "telephone_number": "314-434-0640",
            "fax_number": "636-566-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 ARLINGTON OAKS TER",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175936",
            "telephone_number": "314-434-0640",
            "fax_number": "636-566-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOPAL K NAIR, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-434-0640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "R8341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200951630",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.