NPIMap

Individual provider Active NPI

Akinrinola Fatoki, M.D.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1346354693
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
109044 Issued in MO
Practice address
11125 Dunn Rd
Suite 201
Saint Louis, MO 63136-6132
Phone
(314) 355-5300
Fax
(314) 355-1177
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 109044 MO Primary

Addresses

Primary practice location

11125 Dunn Rd
Suite 201
Saint Louis, MO 63136-6132

Mailing address

23 Chamblee LN
Creve Coeur, MO 63141-7321
Phone (314) 205-2360

Other identifiers 1

IdentifierTypeStateIssuer
208030767MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070731000158 MO Practitioner - Family Practice 2062309230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of MissouriGroup PAC ID 1456254226, 48 clinicians

Practice addresses (Care Compare)

10695 Bellefontaine Rd
Saint Louis, MO 63137-2315
Phone (314) 264-9100

2880 Netherton Dr
Suite 200
Saint Louis, MO 63136-4649
Phone (314) 355-5300

Hospital & facility affiliations

  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180
  • SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091
  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109044MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Bahm Family Medicine LLC Family Medicine CurrentSince Apr 24, 2007 Accepting new patients
State of Missouri Family Medicine CurrentSince Feb 4, 2023 Accepting new patients
McPherson Medical & Diagnostic LLC CurrentSince Feb 1, 2024 Accepting new patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
State of Missouri CurrentSince Feb 4, 2023 Accepting new patients
State of Missouri Past Accepting new patients

Locations

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

10695 Bellefontaine Rd
Saint Louis, MO 63137
Phone (314) 264-9100

11125 Dunn Rd
Ste 201
Saint Louis, MO 63136
Phone (314) 355-5300

2880 Netherton Dr
Saint Louis, MO 63136
Phone (314) 355-5300

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

2880 Netherton Dr
Ste 200
Saint Louis, MO 63136
Phone (314) 355-5300

10345 Watson Rd
Saint Louis, MO 63127
Phone (314) 384-3584

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

Interoperability endpoints

  • Direct secure messaging: afatoki134028@direct.carenet.org

Organizations & group practices 7

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 6

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346354693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CHAMBLEE LN",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417321",
            "telephone_number": "314-205-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-355-5300",
            "fax_number": "314-355-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATOKI",
        "first_name": "AKINRINOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "109044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208030767",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.