Individual provider Active NPI

Talah Bakdash, MD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1336897982
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LP06031 Issued in RI
Practice address
1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117-1211
Phone
(314) 617-3001
NPI assigned
Mar 14, 2022
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP06031 RI Primary

Addresses

Primary practice location

1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117-1211

Mailing address

1034 S Brentwood Blvd Ste 1120
Saint Louis, MO 63117-1211
Phone (314) 617-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20230613001635 RI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5395102941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP06031RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Corporation Current Accepting new patients
University of Kansas School of Medicine Wichita Medical Practice Assoc Internal Medicine PastSince Mar 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tbakdash217575@brownhealth.medalliesdirect.net

Organizations & group practices 2

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": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1336897982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 1120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171211",
            "telephone_number": "314-617-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 1120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171211",
            "telephone_number": "314-617-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKDASH",
        "first_name": "TALAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP06031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.