Active NPI
Jamshed Gul Agha, MD
- Hematology & Oncology Physician
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 2002016138
- Practice address
- 1475 Kisker Rd
Suite 180
Saint Charles, MO 63304-8781 - Phone
- (636) 442-7300
- Fax
- (636) 442-7319
- NPI assigned
- Apr 6, 2006
- Last updated
- Sep 10, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 2002016138 | MO | Primary |
Addresses
Primary practice location
1475 Kisker Rd
Suite 180
Saint Charles, MO 63304-8781
Mailing address
500 Medical Drive
Wentzville, MO 63385
Phone (636) 327-1202
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
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10050 Kennerly Rd
Suite 2400
Saint Louis, MO 63128-2106
Phone (314) 849-6066
10050 Kennerly Rd
Suite 2400
Saint Louis, MO 63128-2193
Phone (314) 849-6066
607 S New Ballas Rd
Saint Louis, MO 63141-8219
Phone (314) 251-4400
615 S New Ballas Rd 5TH Floor
St Louis, MO 63141-8221
901 Patients 1St Dr
Washington, MO 63090-4700
Phone (636) 390-1600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oncology, LLC | Hematology & Oncology | Current | Accepting new patients |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Hematology & Oncology | Current | Accepting new patients |
| Mercy Hospitals East Communities | Past | Accepting new patients |
Locations
1015 Bowles Ave
Ste 1000
Fenton, MO 63026
Phone (636) 390-1400
400 Medical Plz
Ste 10
Lake St Louis, MO 63367
Phone (636) 625-6052
400 Medical Plz
Ste 100
Lake St Louis, MO 63367
Phone (636) 639-8600
1475 Kisker Rd
Ste 180
Saint Charles, MO 63304
Phone (636) 442-7300
1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268
10050 Kennerly Rd
Ste 2400
Saint Louis, MO 63128
Phone (314) 849-6066
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
607 S New Ballas Rd
Ste 33
Saint Louis, MO 63141
Phone (314) 251-4400
901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500
500 Medical Dr
Wentzville, MO 63385
Phone (636) 327-1000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Washington, MO
- NPI 1407169915
-
dba SSM Health Medical Group
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
Hematology & Oncology
-
dba SSM Health Medical Group
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1720041395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MEDICAL DRIVE",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "63385",
"telephone_number": "636-327-1202",
"fax_number": "636-327-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 KISKER RD",
"address_2": "SUITE 180",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633048781",
"telephone_number": "636-442-7300",
"fax_number": "636-442-7319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGHA",
"first_name": "JAMSHED",
"middle_name": "GUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MO",
"license": "2002016138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.