Active NPI
Nivedita Nagam, MD
- Rheumatology Physician
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 2016040889
- Practice address
- 16216 Baxter Rd Ste 390
Chesterfield, MO 63017-4770 - Phone
- (314) 270-0365
- Fax
- (314) 270-0364
- NPI assigned
- Jul 9, 2010
- Last updated
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 2016040889 | MO | Primary |
Addresses
Primary practice location
16216 Baxter Rd Ste 390
Chesterfield, MO 63017-4770
Mailing address
16216 Baxter Rd Ste 390
Chesterfield, MO 63017-4770
Phone (314) 270-0365
Other practice location 1
135 Plaza Dr
Suite 102
Sikeston, MO 63801-5136
Phone (573) 472-6010
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nivedita.nagam@direct.signature.nextgenshare.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2651 Shelby Rd
Poplar Bluff, MO 63901-2387
Phone (573) 843-8380
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Urgent Care LLC | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| St Louis Medical Associates LLC | Rheumatology | Current | Accepting new patients |
Locations
16216 Baxter Rd
Ste 390
Chesterfield, MO 63017
Phone (314) 270-0365
2651 Shelby Rd
Poplar Bluff, MO 63901
Phone (573) 843-8380
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
135 Plaza Dr
Ste 102
Sikeston, MO 63801
Phone (573) 264-2273
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- nivedita.nagam@direct.signature.nextgenshare.com
Organizations & group practices 4
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.
-
dba Ozark Nephrology
- Nephrology Physician
- Poplar Bluff, MO
- NPI 1902500630
Rheumatology
-
- Internal Medicine Physician
- Sikeston, MO
- NPI 1508967860
-
- Urgent Care Clinic/Center
- Poplar Bluff, MO
- NPI 1346094711
-
dba Delta Regional Pharmacy
- Community/Retail Pharmacy
- Malden, MO
- NPI 1578371621
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1437461290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16216 BAXTER RD STE 390",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630174770",
"telephone_number": "314-270-0365",
"fax_number": "314-270-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16216 BAXTER RD STE 390",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630174770",
"telephone_number": "314-270-0365",
"fax_number": "314-270-0364"
}
],
"practiceLocations": [
{
"address_1": "135 Plaza Dr",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Sikeston",
"state": "MO",
"postal_code": "638015136",
"country_code": "US",
"telephone_number": "573-472-6010",
"fax_number": "573-472-6009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGAM",
"first_name": "NIVEDITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MO",
"license": "2016040889",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nivedita.nagam@direct.signature.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "16216 Baxter Rd Ste 390",
"city": "Chesterfield",
"state": "MO",
"country_code": "US",
"postal_code": "630174770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.