Individual provider Active NPI

Mohammad F Ghani, MD

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1629028964
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R4716 Issued in MO
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

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200761310MedicaidMO
P00395464OtherMORR MEDICARE
P00392848OtherMORR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418001102 MO Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4880632173 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M.F. Ghani, M.D., Services, Inc. Cardiovascular Disease CurrentSince Feb 21, 2009 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.

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

Verify at the official NPI Registry.