Daniel D Bekele LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

DANIEL D BEKELE LLC

Practice address

6113 Ridge Ave
Saint Louis, MO 63133

Phone

(720) 235-6443

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Desta Bekele, MDNPI 1447762919

Title

Medical Dirctor

Phone

(314) 230-9050

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St. Gabriel Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Desta Bekele, MD

  • General Practice Physician
  • Saint Louis, MO
  • NPI 1447762919
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1326524604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 RIDGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631332616",
            "telephone_number": "314-230-9050",
            "fax_number": "885-281-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6113 RIDGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63133",
            "telephone_number": "720-235-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D BEKELE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BEKELE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DESTA",
        "authorized_official_title_or_position": "MEDICAL DIRCTOR",
        "authorized_official_telephone_number": "314-230-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830059014",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Gabriel Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rajan P Dang, MD
• Yadavinder Dang, MD
• Pankaj P Dangle, MD
• Daniel a. Dunbar, D.M.D., M.S., P.C.
• Daniel Brannon
• Daniel G Armbruster DC PC
• Daniel Gaitan Healthcare, Inc
• Daniel J Martin Jr MD LLC
• Daniel J Meshoto DO PC
• Daniel L. Blash, LLC

• Urgent Care Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Urgent Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.