Active NPI
Donna M Igou, M.D.
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 101907
- Practice address
- 615 S New Ballas Rd
Dept of Radiology
Saint Louis, MO 63141-8221 - Phone
- (314) 251-6031
- Fax
- (314) 251-6343
- NPI assigned
- Apr 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 101907 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Dept of Radiology
Saint Louis, MO 63141-8221
Mailing address
11475 Olde Cabin Rd
Suite 200
Saint Louis, MO 63141-7128
Phone (314) 991-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205160609 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Saint Louis University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6031
901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8250
Hospital & facility affiliations
- Mercy Hospital St Louis
- Mercy Hospital Washington
- Mercy Hospital Jefferson
- Mercy Hospital South
- Mercy Hospital Lincoln
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.77 of 100
- Quality
- 86.95
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West County Radiological Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Vista Imaging Partners | Past | Accepting new patients |
Locations
15945 Clayton Rd
Ballwin, MO 63011
Phone (636) 256-5280
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200
621 S New Ballas Rd
Ste 23
Saint Louis, MO 63141
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
851 E 5th St
Ste 100
Washington, MO 63090
Phone (636) 239-8258
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1477500585
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Festus, MO
- NPI 1780653576
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252022400000",
"number": "1730142274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11475 OLDE CABIN RD",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417128",
"telephone_number": "314-991-8200",
"fax_number": "314-991-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"address_2": "DEPT OF RADIOLOGY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-6031",
"fax_number": "314-251-6343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGOU",
"first_name": "DONNA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2009-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "101907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205160609",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.