Individual provider Active NPI

Arturo Calvo Taca Jr., MD

  • Psychiatry Physician
  • Creve Coeur, MO
National Provider Identifier
1295846319
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2006024384 Issued in MO
Practice address
11477 Olde Cabin Rd
Suite 210
Creve Coeur, MO 63141-7130
Phone
(314) 997-5208
Fax
(314) 997-5368
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2006024384 MO Primary

Addresses

Primary practice location

11477 Olde Cabin Rd
Suite 210
Creve Coeur, MO 63141-7130

Mailing address

11477 Olde Cabin Rd
Suite 210
Creve Coeur, MO 63141-7130
Phone (314) 997-5208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061201000234 MO Practitioner - Psychiatry 9739187683 Reassigns benefits to 3 organizations
I20190510001059 TX Practitioner - Psychiatry 9739187683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Hospitals East CommunitiesGroup PAC ID 1658276811, 92 clinicians

Practice addresses (Care Compare)

11477 Olde Cabin Rd
Suite 210
Creve Coeur, MO 63141-7129
Phone (314) 997-5208

5207 Heritage Ave
Colleyville, TX 76034-5915
Phone (888) 990-0663

615 S New Ballas Rd
Mercy JFK Clinic
St Louis, MO 63141-8221
Phone (314) 251-6382

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Day Surgery Current Accepting new patients
Mercy Hospitals East Communities CurrentSince Jan 18, 2015 Accepting new patients
Arturo C. Taca, Jr., M.D. LLC Psychiatry CurrentSince Sep 1, 2006 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jan 18, 2015 Accepting new patients
Valerie T Taca MD LLC Past Accepting new patients

Locations

11477 Olde Cabin Rd
Ste 210
Saint Louis, MO 63141
Phone (314) 997-5208

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

Interoperability endpoints

  • Direct secure messaging: arturo.taca.1@18773.direct.athenahealth.com

Organizations & group practices 6

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 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1295846319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11477 OLDE CABIN RD",
            "address_2": "SUITE 210",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417130",
            "telephone_number": "314-997-5208",
            "fax_number": "314-997-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11477 OLDE CABIN RD",
            "address_2": "SUITE 210",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417130",
            "telephone_number": "314-997-5208",
            "fax_number": "314-997-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACA",
        "first_name": "ARTURO",
        "middle_name": "CALVO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2006024384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.