Individual provider Active NPI

Fang Bai, MD

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1639564776
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2019005006 Issued in MO
Practice address
845 N New Ballas CT
Div Neurology Community, Ste 202
Saint Louis, MO 63141-7134
Phone
(557) 747-2529
Fax
(314) 371-4704
NPI assigned
Apr 6, 2015
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2019005006 MO Primary

Addresses

Primary practice location

845 N New Ballas CT
Div Neurology Community, Ste 202
Saint Louis, MO 63141-7134

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (557) 747-2529

Other identifiers 1

IdentifierTypeStateIssuer
200077700MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20200909000395 MO Practitioner - Neurology 3577872878 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Aco Clinical Services IncGroup PAC ID 6901188572, 159 clinicians
Mercy Clinic Neurology, LLCGroup PAC ID 8729183967, 21 clinicians

Practice addresses (Care Compare)

620 Sarawood LN
Saint Louis, MO 63141-7644
Phone (636) 237-4700

621 S New Ballas Rd
5003B
Saint Louis, MO 63141-8270
Phone (314) 227-2020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019005006MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Neurology, LLC Neurology CurrentSince Sep 1, 2020 Accepting new patients
Mercy Aco Clinical Services Inc Neurology CurrentSince Sep 27, 2021 Accepting new patients
Mercy Hospitals East Communities CurrentSince Mar 4, 2022 Accepting new patients
Mercy Hospitals East Communities CurrentSince Mar 4, 2022 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

621 S New Ballas Rd
Ste 5003B
Saint Louis, MO 63141
Phone (314) 227-2020

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

1176 Town and Country Commons Dr
Town and Country, MO 63017
Phone (636) 207-2200

Interoperability endpoints

  • Direct secure messaging: fbai1059525@directc.mercy.net

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1639564776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "557-747-2529",
            "fax_number": "314-371-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N NEW BALLAS CT",
            "address_2": "DIV NEUROLOGY COMMUNITY, STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417134",
            "telephone_number": "557-747-2529",
            "fax_number": "314-371-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAI",
        "first_name": "FANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2026-07-06",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2019005006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200077700",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "845 N New Ballas Ct",
            "address_2": "Div Neurology Community, Ste 202",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631417134",
            "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.