Individual provider Active NPI

Sameed Khalid Lodhi, MD

  • Nephrology Physician
  • Florissant, MO
National Provider Identifier
1356827182
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2022049889 Issued in MO
Practice address
1265 Graham Rd Ste 1
Florissant, MO 63031-8018
Phone
(314) 741-1600
Fax
(314) 741-1677
NPI assigned
Jul 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.072617 IL
Nephrology Physician 207RN0300X RTL21-0071 NC
Nephrology Physician 207RN0300X 2022049889 MO Primary

Addresses

Primary practice location

1265 Graham Rd Ste 1
Florissant, MO 63031-8018

Mailing address

1265 Graham Rd Ste 1
Florissant, MO 63031-8018
Phone (314) 741-1600

Other practice location 1

55 Nesbit Dr Ste B
Bonne Terre, MO 63628-1353
Phone (636) 937-3337

Other practice location 2

1400 US Highway 61 Ste 240A
Festus, MO 63028-4141
Phone (636) 937-3337

Other identifiers 1

IdentifierTypeStateIssuer
200125765MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slodhi52585@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230728000726 MO Practitioner - NephrologyPractitioner - Internal Medicine 8426309642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Kidney Care LLCGroup PAC ID 6305130667, 8 clinicians

Practice addresses (Care Compare)

1265 Graham Rd
Suite 1
Florissant, MO 63031-8018
Phone (314) 741-1600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.072617ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Kidney Care LLC Nephrology CurrentSince Aug 1, 2023 Accepting new patients
Doctors Group , PC Internal Medicine PastSince Jul 9, 2023 Accepting new patients

Locations

2 Memorial Dr
Ste 201
Alton, IL 62002
Phone (618) 463-2390

2044 Madison Ave
Ste 15
Granite City, IL 62040
Phone (618) 451-1500

55 Nesbit Dr
Ste B
Bonne Terre, MO 63628
Phone (636) 937-3337

1400 US Highway 61
Ste 240A
Crystal Cty, MO 63028
Phone (636) 937-3337

1265 Graham Rd
Ste 1
Florissant, MO 63031
Phone (314) 551-0338

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4
  • Direct secure messaging: slodhi493716@direct-ehr-ssmhc.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1356827182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 GRAHAM RD STE 1",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318018",
            "telephone_number": "314-741-1600",
            "fax_number": "314-741-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 GRAHAM RD STE 1",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318018",
            "telephone_number": "314-741-1600",
            "fax_number": "314-741-1677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Nesbit Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Bonne Terre",
            "state": "MO",
            "postal_code": "636281353",
            "country_code": "US",
            "telephone_number": "636-937-3337",
            "fax_number": "636-931-7671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 US Highway 61 Ste 240A",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630284141",
            "country_code": "US",
            "telephone_number": "636-937-3337",
            "fax_number": "636-931-7671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LODHI",
        "first_name": "SAMEED",
        "middle_name": "KHALID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.072617",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "RTL21-0071",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2022049889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200125765",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slodhi52585@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1400 US Highway 61 Ste 240A",
            "city": "Festus",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630284141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.