Individual provider Active NPI

Naseem A Shekhani, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Florissant, MO
National Provider Identifier
1700812971
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD101820 Issued in MO
Practice address
11636 West Florissant Ave
Florissant, MO 63033-6723
Phone
(314) 733-5140
Fax
(314) 965-7900
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD101820 MO Primary

Addresses

Primary practice location

11636 West Florissant Ave
Florissant, MO 63033-6723

Mailing address

11636 West Florissant Ave
Florissant, MO 63033-6723
Phone (314) 733-5140

Other identifiers 1

IdentifierTypeStateIssuer
203564711MedicaidMO

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
I20041019000172 MO Practitioner - Physical Medicine and RehabilitationPractitioner - Family Practice 4587574397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Southern Illinois University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2821 N Ballas Rd
Suite C64
Saint Louis, MO 63131-2387
Phone (314) 733-5140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD101820MOMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naseem a Shekhani MD PC Physical Medicine & Rehabilitation CurrentSince May 14, 2005 Accepting new patients

Locations

224 Bradford Ln
Ste A
Waterloo, IL 62298
Phone (618) 939-8190

11636 West Florissant Ave
Florissant, MO 63033
Phone (314) 524-3958

2821 N Ballas Rd
Ste C64
Saint Louis, MO 63131
Phone (314) 480-6445

2325 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 577-8527

2325 Dougherty Ferry Rd
Ste 203
Saint Louis, MO 63122
Phone (314) 480-6445

102 Progress Pkwy
#C
Sullivan, MO 63080
Phone (314) 822-2491

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1700812971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11636 WEST FLORISSANT AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336723",
            "telephone_number": "314-733-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11636 WEST FLORISSANT AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336723",
            "telephone_number": "314-733-5140",
            "fax_number": "314-965-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKHANI",
        "first_name": "NASEEM",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "MD101820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203564711",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.