Individual provider Active NPI

Tejaswini R. Nayak, M.D.

  • Internal Medicine Physician
  • Saint Charles, MO
National Provider Identifier
1609841303
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2002015974 Issued in MO
Practice address
1820 Zumbehl Rd
Suite 120-a
Saint Charles, MO 63303-2761
Phone
(636) 928-1237
Fax
(636) 928-0397
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2002015974 MO Primary

Addresses

Primary practice location

1820 Zumbehl Rd
Suite 120-a
Saint Charles, MO 63303-2761

Mailing address

1820 Zumbehl Rd
Suite 120-a
Saint Charles, MO 63303-2761
Phone (636) 928-1237

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
I20040407000531 MO Practitioner - Internal Medicine 4587657200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

1820 Zumbehl Rd
Suite 120
Saint Charles, MO 63303-2761
Phone (636) 947-2334

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Jul 1, 2005 Accepting new patients
Mercy Clinic East Communities Internal Medicine CurrentSince Jul 1, 2005 Accepting new patients

Locations

1820 Zumbehl Rd
Ste 120A
Saint Charles, MO 63303
Phone (636) 928-1237

1820 Zumbehl Rd
Ste 120
Saint Charles, MO 63303
Phone (314) 801-5350

621 S New Ballas Rd
Ste 3016B
Saint Louis, MO 63141
Phone (314) 251-6339

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

Interoperability endpoints

  • Direct secure messaging: tnayak1314@directc.mercy.net

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1609841303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 ZUMBEHL RD",
            "address_2": "SUITE 120-A",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032761",
            "telephone_number": "636-928-1237",
            "fax_number": "636-928-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 ZUMBEHL RD",
            "address_2": "SUITE 120-A",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032761",
            "telephone_number": "636-928-1237",
            "fax_number": "636-928-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "TEJASWINI",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2002015974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.