Individual provider Active NPI

Sharad P Parikh, MD

  • Vascular Surgery Physician
  • Bridgeton, MO
National Provider Identifier
1760482384
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
33867 Issued in MO
Practice address
3450 Bridgeland Dr
Ste F
Bridgeton, MO 63044-2605
Phone
(314) 831-4200
Fax
(314) 831-7632
NPI assigned
Jul 26, 2005
Reactivated
Mar 23, 2006
Last updated
Oct 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 33867 MO Primary

Addresses

Primary practice location

3450 Bridgeland Dr
Ste F
Bridgeton, MO 63044-2605

Mailing address

3450 Bridgeland Dr
Ste F
Bridgeton, MO 63044-2605
Phone (314) 831-4200

Other identifiers 2

IdentifierTypeStateIssuer
200886505MedicaidMO
770000866OtherMORAILROAD MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000104 MO Practitioner - General SurgeryPractitioner - Vascular Surgery 8729058094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2300 Leland Ridge Walk
Des Peres, MO 63131-3109
Phone (314) 831-4200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33867MOMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharad P Parikh MD PC Vascular Surgery CurrentSince Dec 31, 1991 Accepting new patients

Locations

3450 Bridgeland Dr
Ste F
Bridgeton, MO 63044
Phone (314) 831-4200

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.

Hospital & facility affiliations 3

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1760482384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 BRIDGELAND DR",
            "address_2": "STE F",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442605",
            "telephone_number": "314-831-4200",
            "fax_number": "314-831-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 BRIDGELAND DR",
            "address_2": "STE F",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442605",
            "telephone_number": "314-831-4200",
            "fax_number": "314-831-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "SHARAD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2015-10-21",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "33867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200886505",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "770000866",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.