Individual provider Active NPI

Ajit S Nagra, MD

  • Anesthesiology Physician
  • Joplin, MO
National Provider Identifier
1659378693
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036108392 Issued in IL
Practice address
100 Mercy Way
Joplin, MO 64804-4524
Phone
(417) 781-2727
Fax
(417) 621-0571
NPI assigned
Jul 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036108392 IL Primary

Addresses

Primary practice location

100 Mercy Way
Joplin, MO 64804-4524

Mailing address

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 781-2727

Other practice location 1

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2909

Other identifiers 2

IdentifierTypeStateIssuer
900068033OtherILTAX-ID#
08220357OtherILBCBS GRP#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040301000265 MO Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 4587551155 Reassigns benefits to 5 organizations
I20170128000380 FL Practitioner - Anesthesiology 4587551155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care Group 929 clinicians
SSM Health Slu Hospital Anesthesia Physician Billing LLC 98 clinicians

Practice addresses (Care Compare)

10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

1225 S Grand Blvd
Saint Louis, MO 63104-1016

Hospital & facility affiliations

  • SSM Health Saint Louis University Hospital Hospital, Saint Louis, MO, CCN 260105

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036108392ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Dec 31, 2017 Accepting new patients
SSM Health Care Group Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Dec 31, 2017 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Western Anesthesiology Associates, Inc. Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
Clinical Colleagues Inc Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Capital Anesthesia Solutions of Missouri, LLC Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
SSM Health Slu Hospital Anesthesia Physician Billing, LLC Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Northwest Anesthesia LTD Anesthesiology Past Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

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

901 Patients First Dr
Ste 108
Washington, MO 63090
Phone (636) 390-1715

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1659378693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-781-2727",
            "fax_number": "417-621-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-781-2727",
            "fax_number": "417-621-0571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041016",
            "country_code": "US",
            "telephone_number": "314-617-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGRA",
        "first_name": "AJIT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036108392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX-ID#",
            "identifier": "900068033",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP#",
            "identifier": "08220357",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.