Individual provider Active NPI

Amod P Paranjpe, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Saint Peters, MO
National Provider Identifier
1629070792
Registry record updated Jan 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000733 Issued in MO
Practice address
5401 Veterans Memorial Pkwy Ste 102
Saint Peters, MO 63376
Phone
(636) 442-1541
Fax
(636) 244-2664
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000733 MO Primary

Addresses

Primary practice location

5401 Veterans Memorial Pkwy Ste 102
Saint Peters, MO 63376

Mailing address

5401 Veterans Memorial Pkwy Ste 102
Saint Peters, MO 63376-1681
Phone (636) 442-1541

Other practice location 1

5401 Veterans Memorial Pkwy Ste 102
Saint Peters, MO 63376
Phone (636) 442-1541

Other identifiers 1

IdentifierTypeStateIssuer
308938604MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000733MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Turlington DPM PC PastSince Jul 1, 1999 Accepting new patients
Amod P Paranjpe, DPM Foot & Ankle Surgery Past Accepting new patients
Overland Medical Center Past Accepting new patients
Imaging Partners of St. Peters, LLC PastSince May 18, 2011 Accepting new patients

Organizations & group practices 4

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1629070792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 VETERANS MEMORIAL PKWY STE 102",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761681",
            "telephone_number": "636-442-1541",
            "fax_number": "636-244-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 VETERANS MEMORIAL PKWY STE 102",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-442-1541",
            "fax_number": "636-244-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 Veterans Memorial Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "63376",
            "country_code": "US",
            "telephone_number": "636-442-1541",
            "fax_number": "636-244-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARANJPE",
        "first_name": "AMOD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308938604",
            "state": "MO"
        }
    ],
    "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 Jan 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.