Active NPI
Eric H Mai, MD
- Family Medicine Physician
- Creve Coeur, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2002005132
- Practice address
- 11445 Olive Blvd
Creve Coeur, MO 63141-7108 - Phone
- (314) 428-9543
- Fax
- (636) 326-6110
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2002005132 | MO | Primary |
Addresses
Primary practice location
11445 Olive Blvd
Creve Coeur, MO 63141-7108
Mailing address
11445 Olive Blvd
Creve Coeur, MO 63141-7108
Phone (314) 428-9543
Other practice location 1
714 Gravois Rd
Suite 100
Fenton, MO 63026-7723
Phone (636) 326-6100
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
- Family Practice
- Education
- Eastern Virginia Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11445 Olive Blvd
Creve Coeur, MO 63141-7108
Phone (314) 428-9543
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002005132 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheen Vein Institute Inc | Current | Accepting new patients | |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| American Multispecialty Group Inc. | Family Medicine | Past | Accepting new patients |
| Mercy Clinic East Communities | Family Medicine | Past | Accepting new patients |
Locations
714 Gravois Rd
Ste 100
Fenton, MO 63026
Phone (636) 326-6100
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
11445 Olive Blvd
Saint Louis, MO 63141
Phone (314) 428-9543
11144 Tesson Ferry Rd
Ste 100
Saint Louis, MO 63123
Phone (314) 842-1441
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
Organizations & group practices 5
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.
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- NPI 1619535762
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1255648523
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1972559532
Family Medicine
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1477520583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11445 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417108",
"telephone_number": "314-428-9543",
"fax_number": "636-326-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11445 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417108",
"telephone_number": "314-428-9543",
"fax_number": "636-326-6110"
}
],
"practiceLocations": [
{
"address_1": "714 Gravois Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Fenton",
"state": "MO",
"postal_code": "630267723",
"country_code": "US",
"telephone_number": "636-326-6100",
"fax_number": "636-326-6110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAI",
"first_name": "ERIC",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2002005132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.