Anam Ahmad, MD
Individual provider Active NPI Rheumatology Physician · Chesterfield, MO
NPI 1639739485 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1639739485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 2024028114 (MO)
- Practice address
- 222 S Woods Mill Rd Ste 760
Chesterfield, MO 63017-3625 - Phone
- (314) 205-6050
- Fax
- (314) 434-5939
- NPI assigned
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Rheumatology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medical Specialists of St Lukes LLC
Practice addresses (Care Compare)
222 S Woods Mill Rd
Suite 750N
Chesterfield, MO 63017-3653
Phone (314) 205-6600
Hospital & facility affiliations
- St Lukes Hospital
- 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 |
|---|---|---|---|---|
| I20241022000619 | MO | Practitioner - Rheumatology |
0244762755 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019019104 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Specialists of St Lukes LLC | Internal Medicine | Current |
Accepting new patients |
| Cardiothoracic Surgery, LLC | Past | Accepting new patients |
Locations
222 S Woods Mill Rd
Ste 750N
Chesterfield, MO 63017
Phone (314) 205-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 2024028114 | MO | Yes |
| Internal Medicine Physician | 207R00000X | 2019019104 | MO |
Addresses
Primary practice location
222 S Woods Mill Rd Ste 760
Chesterfield, MO 63017-3625
Mailing address
222 S Woods Mill Rd Ste 750 North
Chesterfield, MO 63017-3625
Phone (314) 205-6600
Other providers in Chesterfield, MO
- Akshat Agrawal
- Ahcmo 1 LLC
- Ahhh, LLC
- Vaishaliben Ahir
- George Phelan Ahlering
- Hassan A Ahmad
- Muneeb Ahmad
- Umraan Saeed Ahmad
- Hasan Ali Habib Ahmed
- Isra Faisal Elgasim Ahmed
All providers in Chesterfield, MO · Rheumatology 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 Oct 1, 2024. 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.