Active NPI
Mohammad F Ghani, MD
- Cardiovascular Disease Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R4716
- Practice address
- 3915 Watson Rd
Suite # 101
Saint Louis, MO 63109-1251 - Phone
- (314) 644-5300
- Fax
- (314) 644-5308
- NPI assigned
- May 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R4716 | MO | Primary |
| Internal Medicine Physician | 207R00000X | R4716 | MO |
Addresses
Primary practice location
3915 Watson Rd
Suite # 101
Saint Louis, MO 63109-1251
Mailing address
PO Box 240106
Ballwin, MO 63024-0106
Phone (314) 644-5300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200761310 | Medicaid | MO | |
| P00395464 | Other | MO | RR MEDICARE |
| P00392848 | Other | MO | RR MEDICARE |
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 |
|---|---|---|---|---|
| I20050418001102 | MO | Practitioner - Internal Medicine | 4880632173 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.F. Ghani, M.D., Services, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Forest Park Critical Care LLC | Past | Accepting new patients | |
| Jaime a. Aguinaldo Inc | Internal Medicine | Past | Accepting new patients |
Locations
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
6150 Oakland Ave
Saint Louis, MO 63139
Phone (314) 768-3000
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
3915 Watson Rd
Ste 101
Saint Louis, MO 63109
Phone (314) 352-2711
6651 Chippewa St
Ste 203
Saint Louis, MO 63109
Phone (314) 644-5300
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1245365832
Cardiovascular Disease, MO
-
- Critical Care Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1073748828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1629028964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240106",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630240106",
"telephone_number": "314-644-5300",
"fax_number": "314-644-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 WATSON RD",
"address_2": "SUITE # 101",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631091251",
"telephone_number": "314-644-5300",
"fax_number": "314-644-5308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANI",
"first_name": "MOHAMMAD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R4716",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R4716",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200761310",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00395464",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00392848",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.