Individual provider Active NPI

Imran Chishti, M.D.

  • Psychiatry Physician
  • Chesterfield, MO
National Provider Identifier
1740220557
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2000146081 Issued in MO
Practice address
224 S Woods Mill Rd
Suite 550 South
Chesterfield, MO 63017-3513
Phone
(314) 576-3638
Fax
(314) 576-3635
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2000146081 MO Primary

Addresses

Primary practice location

224 S Woods Mill Rd
Suite 550 South
Chesterfield, MO 63017-3513

Mailing address

224 S Woods Mill Rd
Suite 550 South
Chesterfield, MO 63017-3513
Phone (314) 576-3638

Other identifiers 1

IdentifierTypeStateIssuer
204846034MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040908000028 MO Practitioner - PsychiatryPractitioner - Addiction Medicine 4688640071 Reassigns benefits to 1 organization
I20241003002338 TX Practitioner - Psychiatry 4688640071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

224 S Woods Mill Rd
Suite 550S
Chesterfield, MO 63017-3612
Phone (314) 576-3638

2743 Imperia Dr
Suite 101
Sugar Land, TX 77479-8988
Phone (333) 456-7952

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ccare TX PLLC Psychiatry CurrentSince Sep 15, 2024 Accepting new patients
Little Hills Healthcare, LLC Past Accepting new patients
Neurodiagnostics, Inc. Past Accepting new patients
Temple Optometrists, P.C. Past Accepting new patients
Midwest Pulmonary and Critical Care Consultants Inc PastSince Aug 1, 2002 Accepting new patients
West County Physicians, LLC Psychiatry PastSince Apr 19, 2020 Accepting new patients

Locations

2743 Imperia Dr
Ste 101
Sugar Land, TX 77479
Phone (333) 456-7952

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1740220557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 550 SOUTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173513",
            "telephone_number": "314-576-3638",
            "fax_number": "314-576-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 550 SOUTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173513",
            "telephone_number": "314-576-3638",
            "fax_number": "314-576-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHTI",
        "first_name": "IMRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2000146081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204846034",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.