Azadeh Eslambolchi, MD
Individual provider Active NPI Diagnostic Radiology Physician · Saint Louis, MO
NPI 1467036699 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1467036699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 2024042023 (MO)
- Practice address
- 510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016 - Phone
- (314) 362-7200
- Fax
- (314) 747-4189
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Washington University
Practice addresses (Care Compare)
1 Childrens PL
Saint Louis, MO 63110-1002
Phone (314) 454-6000
13001 N Outer Forty
Child Care Center
Town and Country, MO 63017-5941
Phone (314) 454-3222
510 S Kingshighway Blvd
Saint Louis, MO 63110-1016
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250722002961 | MO | Practitioner - Diagnostic Radiology | 4486160827 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024042023 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Diagnostic Radiology | Current |
Accepting new patients |
| Miracl, LLC | Current |
Accepting new patients |
Locations
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2024042023 | MO | Yes |
Addresses
Primary practice location
510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-7200
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Other providers in Saint Louis, MO
- Pamela Esker
- Theresa M Esker
- Brandi Eskew
- Devon Eskew
- Shellena Eskridge
- Azadeh Eslami Amin
- Brenda Kay Eslinger
- Rose Marie Eslinger
- Houri Esmaeil Khanian
- Jasmine Esmailzadegan
All providers in Saint Louis, MO · Diagnostic Radiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.