Active NPI
Joseph A Kahn, MD
- Pediatrics Physician
- Saint Peters, MO
National Provider Identifier
1497721476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R2A19
- Practice address
- 2740 S Highway 94
Suite a
Saint Peters, MO 63303-5609 - Phone
- (636) 441-5437
- NPI assigned
- Feb 28, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R2A19 | MO | Primary |
Addresses
Primary practice location
2740 S Highway 94
Suite a
Saint Peters, MO 63303-5609
Mailing address
2740 S Highway 94
Suite a
Saint Peters, MO 63303-5609
Phone (636) 441-5437
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180410001069 | MO | Order and Referring Only - Pediatric Medicine | 6002179850 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497721476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 S HIGHWAY 94",
"address_2": "SUITE A",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633035609",
"telephone_number": "636-441-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 S HIGHWAY 94",
"address_2": "SUITE A",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633035609",
"telephone_number": "636-441-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "R2A19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.