Organization Active NPI

West County Rheumatology, LLC

  • Rheumatology Physician
  • Saint Louis, MO
National Provider Identifier
1356830830
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2003014471 Issued in MO
Legal business name
WEST COUNTY RHEUMATOLOGY, LLC
Practice address
13100 Manchester Rd Ste 70
Saint Louis, MO 63131-1703
Phone
(314) 492-2323
Fax
(314) 582-1010
NPI assigned
May 9, 2018
Last updated
Nov 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Sona S Kamat, MDNPI 1407896129
Title
Owner
Phone
(314) 983-9898

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)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 2003014471 MO Primary

Addresses

Primary practice location

13100 Manchester Rd Ste 70
Saint Louis, MO 63131-1703

Mailing address

13100 Manchester Rd Ste 70
Saint Louis, MO 63131-1703
Phone (314) 492-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180612001299 MO Part B Supplier - Clinic/Group Practice 7719232933 Receives reassigned benefits from 8 practitioners
Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2195291West County Rheumatology13100 Manchester Rd Suite 85, St. Louis, MO 63131RegistrationMay 11, 2028

National Provider Directory

National Provider Directory

Locations

13100 Manchester Rd
Ste 65
Saint Louis, MO 63131
Phone (314) 983-9898

13100 Manchester Rd
Ste 85
Saint Louis, MO 63131
Phone (314) 983-9898

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1356830830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 MANCHESTER RD STE 70",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311703",
            "telephone_number": "314-492-2323",
            "fax_number": "314-582-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 MANCHESTER RD STE 70",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311703",
            "telephone_number": "314-492-2323",
            "fax_number": "314-582-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COUNTY RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "KAMAT",
        "authorized_official_first_name": "SONA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-983-9898",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "2003014471",
            "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 Nov 1, 2018; 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.