Nadya A Ajanee, M.D.
Individual provider Active NPI Internal Medicine Physician · Chesterfield, MO
NPI 1639284276 · NPPES record last updated Feb 18, 2015
Key facts
- NPI
- 1639284276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2005006925 (MO)
- Practice address
- 222 S Woods Mill Rd
Ste 650N
Chesterfield, MO 63017-3625 - Phone
- (314) 682-3625
- Fax
- (314) 590-5953
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Internal Medicine of Chesterfield, LLC
Practice addresses (Care Compare)
222 S Woods Mill Rd
Suite 650N
Chesterfield, MO 63017-3648
Phone (314) 682-3625
Hospital & facility affiliations
- St Luke'S Home Health Services
- St Lukes Hospital
- Missouri Baptist Medical Center
- Mercy Hospital St Louis
- SSM Health Rehabilitation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050920001016 | MO | Practitioner - Internal Medicine | 4385639517 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005006925 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine of Chesterfield, LLC | Internal Medicine | Current |
Accepting new patients |
| St. Lukes Medical Group | Internal Medicine | Past | Accepting new patients |
Locations
222 S Woods Mill Rd
Ste 650N
Chesterfield, MO 63017
Phone (314) 317-9000
121 Saint Lukes Center Dr
Ste 504
Chesterfield, MO 63017
Phone (314) 205-6399
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2005006925 | MO | Yes |
Addresses
Primary practice location
222 S Woods Mill Rd
Ste 650N
Chesterfield, MO 63017-3625
Mailing address
222 S Woods Mill Rd
Ste 650N
Chesterfield, MO 63017-3625
Phone (314) 682-3625
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 841682728 | Other | TAX ID | |
| P00259468 | Other | RR MEDICARE | |
| 206221400 | Medicaid | MO |
Other providers in Chesterfield, MO
- Isra Faisal Elgasim Ahmed
- Mohammad Ahmed
- Sana Ahmed
- Zaheer Ahmed
- Virginia Ahrens
- Mohamad Al-Hosni
- Alan S Handler, DDS, LLC
- Amer Albadawi
- Jan Albrecht-McClure
- Albus RX Holdings LLC
All providers in Chesterfield, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.