Active NPI
Py Medical Services of Mo PC
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1316799042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PY MEDICAL SERVICES OF MO PC
- Practice address
- 10954 Kennerly Rd
Saint Louis, MO 63128-2018 - Phone
- (314) 843-4242
- NPI assigned
- Apr 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peyman Younesi, MD
- Title
- Owner
- Phone
- (718) 709-0940
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
10954 Kennerly Rd
Saint Louis, MO 63128-2018
Mailing address
3438 Bell Blvd Ste 301
Bayside, NY 11361-1739
Phone (718) 709-0940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Saint Louis, MO
- NPI 1235836982
-
- Family Nurse Practitioner
- Bridgeton, MO
- NPI 1649220104
-
- Adult Health Nurse Practitioner
- Saint Louis, MO
- NPI 1275071326
-
- Clinical Cardiac Electrophysiology Physician
- Saint Louis, MO
- NPI 1093770257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1316799042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3438 BELL BLVD STE 301",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113611739",
"telephone_number": "718-709-0940",
"fax_number": "516-441-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10954 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282018",
"telephone_number": "314-843-4242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PY MEDICAL SERVICES OF MO PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-04",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A",
"authorized_official_last_name": "YOUNESI",
"authorized_official_first_name": "PEYMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-709-0940",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 6, 2024; 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.