NPIMap

Individual provider Active NPI

Inderjit Singh, MD

  • Nephrology Physician
  • Saint Louis, MO
National Provider Identifier
1609842434
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
112064 Issued in MO
Practice address
11155 Dunn Rd
Suite 207N
Saint Louis, MO 63136-6149
Phone
(314) 736-6590
Fax
(314) 736-4359
NPI assigned
Feb 23, 2006
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 112064 MO
Specialist 174400000X 036-090622 IL
Nephrology Physician 207RN0300X 036-090622 IL
Nephrology Physician 207RN0300X 112064 MO Primary

Addresses

Primary practice location

11155 Dunn Rd
Suite 207N
Saint Louis, MO 63136-6149

Mailing address

PO Box 1125
Maryland Heights, MO 63043-0125
Phone (314) 432-2580

Other identifiers 8

IdentifierTypeStateIssuer
103507OtherMOGHP
115370OtherMOBLUE CROSS BLUE SHIELD
37151OtherMOCMR
208648808MedicaidMO
279894OtherMOHEALTHLINK
390008089OtherMORAILROAD MEDICARE
3100060OtherMOUNITED HEALTH CARE
036090622MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050114000001 MO Practitioner - Internal MedicinePractitioner - Nephrology 7517874464 Reassigns benefits to 2 organizations
I20081114000216 IL Practitioner - Internal MedicinePractitioner - Nephrology 7517874464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians
Inderjit Singh MD Facp LLCGroup PAC ID 0840249165, 2 clinicians

Practice addresses (Care Compare)

12 N Kingshighway
100 Wound Care
Perryville, MO 63775-1367
Phone (573) 768-3399

1508 Edgemont Blvd
Primary Care/Convenient Care
Perryville, MO 63775-1231
Phone (573) 768-3220

206 Hospital LN
Perryville, MO 63775-1382

210 Hospital LN
Perryville, MO 63775-4200

210 Hospital LN
Suite 203
Perryville, MO 63775-1276
Phone (573) 768-3285

2100 Madison Ave
Granite City, IL 62040-4713
Phone (618) 798-3000

212 Hospital LN
Perryville, MO 63775-4204

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1844
Phone (573) 768-3284

7 Professional Dr
Alton, IL 62002-5067
Phone (618) 463-5584

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-090622ILMDSpecialist
112064MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Mercy Hospital Perry Past Accepting new patients
Rouba Ghoussoub MD LLC Nephrology Past Accepting new patients
Manzoor Tariq, Inc. Past Accepting new patients

Locations

206 Hospital Ln
Ste 201
Perryville, MO 63775
Phone (573) 547-4899

206 Hospital Ln
Ste 204
Perryville, MO 63775
Phone (573) 547-4899

212 Hospital Ln
Ste 101
Perryville, MO 63775
Phone (573) 547-7888

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

Interoperability endpoints

  • Direct secure messaging: singhi@yourcarecommunity.org

Organizations & group practices 6

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1609842434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630430125",
            "telephone_number": "314-432-2580",
            "fax_number": "314-432-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD",
            "address_2": "SUITE 207N",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366149",
            "telephone_number": "314-736-6590",
            "fax_number": "314-736-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "INDERJIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "112064",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-090622",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036-090622",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "112064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "103507",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "115370",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMR",
            "identifier": "37151",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208648808",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "279894",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390008089",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "3100060",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090622",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.