Active NPI
Junaid Munshi, M.D.
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2018011621
- Practice address
- 3844 S Lindbergh Blvd Ste 235
Saint Louis, MO 63127 - Phone
- (314) 525-0560
- Fax
- (314) 525-0565
- NPI assigned
- Apr 15, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 302543 | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 2018011621 | MO | Primary |
Addresses
Primary practice location
3844 S Lindbergh Blvd Ste 235
Saint Louis, MO 63127
Mailing address
3844 S Lindbergh Blvd Ste 235
Saint Louis, MO 63127-1369
Phone (314) 525-0560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04108724 | Medicaid | MS | |
| 2329308 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160826001391 | LA | Practitioner - Family Practice | 1254657216 | Reassigns benefits to 2 organizations |
| I20180815002576 | MO | Practitioner - Family Practice | 1254657216 | Reassigns benefits to 2 organizations |
| I20221208002975 | IL | Practitioner - Family Practice | 1254657216 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Impact Physician Group Missouri LLC
Practice addresses (Care Compare)
12380 Depaul Dr
Bridgeton, MO 63044-2511
Phone (314) 447-9700
Hospital & facility affiliations
- SSM Health Depaul Hospital St Louis
- Barnes-Jewish St Peters Hospital
- Barnes Jewish Hospital
- SSM St Joseph Hospital West
- SSM St Joseph Health Center
- SSM Health Rehabilitation Hospital
- Kindred Hospital St Louis South
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018011621 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Illinois SNF, LLP | Current | Accepting new patients | |
| Impact Physician Group, Illinois LLC | Current | Accepting new patients | |
| Belle Chasse Physician Services LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists, LLP | Current | Accepting new patients | |
| Cep America - Illinois SNF LLP | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists | Current | Accepting new patients | |
| Cep America - Illinois SNF, LLP | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists, LLP | Current | Accepting new patients | |
| In Charge Medical Professionals LLC | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007
3490 Humbert Rd
Alton, IL 62002
Phone (618) 465-2626
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
3402 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 307-7900
1936 Brookdale Rd
Naperville, IL 60563
Phone (630) 390-5597
2920 Leverenz Rd
Naperville, IL 60564
Phone (630) 359-8835
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
115 E South St
Ste F
Plano, IL 60545
Phone (630) 551-3666
1260 City Center Dr
Carmel, IN 46032
Phone (463) 333-9110
1514 Jefferson Hwy
New Orleans, LA 70121
2750 Gause Blvd E
Slidell, LA 70461
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
12380 De Paul Dr
Bridgeton, MO 63044
Phone (314) 447-9700
10018 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-4412
4930 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 361-8700
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
1027 Bellevue Ave
Saint Louis, MO 63117
Phone (314) 768-5202
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Peachtree City, GA
- NPI 1124426606
MO
-
- Internal Medicine Physician
- Edwardsville, IL
- NPI 1043170434
-
- Internal Medicine Physician
- Alton, IL
- NPI 1174151112
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
-
- Hospitalist Physician
- O Fallon, IL
- NPI 1720587918
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
Hospital
-
- Long Term Care Hospital
- Saint Louis, MO
- NPI 1366529364
Long-term care hospital
-
- Long Term Care Hospital
- Saint Louis, MO
- NPI 1427311356
Long-term care hospital
-
- Long Term Care Hospital
- Saint Louis, MO
- NPI 1447337449
Long-term care hospital
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1629411129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3844 S LINDBERGH BLVD STE 235",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271369",
"telephone_number": "314-525-0560",
"fax_number": "314-525-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3844 S LINDBERGH BLVD STE 235",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63127",
"telephone_number": "314-525-0560",
"fax_number": "314-525-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNSHI",
"first_name": "JUNAID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-15",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "302543",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2018011621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04108724",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2329308",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3844 S Lindbergh Blvd Ste 235",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "63127",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.