Organization Active NPI

Naseem a Shekhani MD PC

  • Physical Medicine & Rehabilitation Physician
  • Florissant, MO
National Provider Identifier
1710106786
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD101820 Issued in MO
Legal business name
NASEEM A SHEKHANI MD PC
Practice address
11636 West Florissant Ave
Florissant, MO 63033-6723
Phone
(314) 733-5140
Fax
(314) 965-7900
NPI assigned
Apr 25, 2007
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Naseem A Shekhani, M.D.NPI 1700812971
Title
Owner/Physician
Phone
(314) 733-5140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050607000116 MO Part B Supplier - Clinic/Group Practice 1052354404 Receives reassigned benefits from 1 practitioner
Practice locations: Florissant, MO; Saint Louis, MO; St Louis, MO; Sullivan, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2076125Naseem a Shekhani MD, PC11636 West Florissant Ave, Saint Louis, MO 63033Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Locations

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

2355 Dougherty Ferry Rd
Ste 440
Saint Louis, MO 63122
Phone (314) 614-8775

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1710106786",
    "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",
            "fax_number": "314-965-7900"
        },
        {
            "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": {
        "organization_name": "NASEEM A SHEKHANI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-04-21",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "SHEKHANI",
        "authorized_official_first_name": "NASEEM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "314-733-5140",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "MD101820",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.