Individual provider Active NPI

Nivedita Nagam, MD

  • Rheumatology Physician
  • Chesterfield, MO
National Provider Identifier
1437461290
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2016040889 Issued in MO
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170202001528 MO Practitioner - RheumatologyPractitioner - Internal Medicine 8022242056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Louis Medical Associates LLCGroup PAC ID 5193185601, 11 clinicians

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

OrganizationSpecialtyStatusNew patients
Community Urgent Care LLC CurrentSince Apr 14, 2024 Accepting new patients
Missouri Delta Medical Center CurrentSince Apr 14, 2017 Accepting new patients
Missouri Delta Medical Center CurrentSince Apr 14, 2017 Accepting new patients
St Louis Medical Associates LLC Rheumatology CurrentSince Sep 1, 2023 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.