NPIMap

Individual provider Active NPI

Junaid Munshi, M.D.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1629411129
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018011621 Issued in MO
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
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Electronic endpoints 1

TypeEndpointUseAffiliation
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, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 4082958574, 18 clinicians

Practice addresses (Care Compare)

12380 Depaul Dr
Bridgeton, MO 63044-2511
Phone (314) 447-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302543LAMDFamily Medicine Physician
2018011621MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 1, 2016 Accepting new patients
Cep America - Illinois SNF LLP CurrentSince Dec 1, 2022 Accepting new patients
Cep America - Illinois SNF, LLP Current Accepting new patients
In Charge Medical Professionals LLC CurrentSince Oct 1, 2021 Accepting new patients
Cep America - Illinois SNF, LLP CurrentSince Dec 1, 2022 Accepting new patients
Belle Chasse Physician Services LLC CurrentSince Dec 11, 2016 Accepting new patients
Impact Physician Group, Illinois LLC CurrentSince Dec 1, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Dec 1, 2022 Accepting new patients
Cep America-Illinois Hospitalists, LLP CurrentSince Dec 1, 2022 Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 1, 2016 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

3490 Humbert Rd
Alton, IL 62002
Phone (618) 465-2626

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

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

2750 Gause Blvd E
Slidell, LA 70461

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

1027 Bellevue Ave
Saint Louis, MO 63117
Phone (314) 645-6450

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

4930 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 361-8700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 9

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

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": [],
    "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

Verify at the official NPI Registry.