Active NPI
Naseem A Shekhani, M.D.
- Physical Medicine & Rehabilitation Physician
- Florissant, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD101820
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203564711 | Medicaid | MO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041019000172 | MO | Practitioner - Physical Medicine and Rehabilitation | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD101820 | MO | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naseem a Shekhani MD PC | Physical Medicine & Rehabilitation | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Florissant, MO
- NPI 1710106786
MO, Physical Medicine & Rehabilitation
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.