Individual provider Active NPI

Thomas R Pohlman, M.D.

  • Nephrology Physician
  • Chesterfield, MO
National Provider Identifier
1760597629
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
R9417 Issued in MO
Practice address
222 S Woods Mill Rd
Suite 750
Chesterfield, MO 63017-3625
Phone
(314) 205-6600
Fax
(314) 205-6682
NPI assigned
Aug 20, 2006
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X R9417 MO Primary

Addresses

Primary practice location

222 S Woods Mill Rd
Suite 750
Chesterfield, MO 63017-3625

Mailing address

222 S Woods Mill Rd
Suite 750
Chesterfield, MO 63017-3653
Phone (314) 205-6600

Other identifiers 3

IdentifierTypeStateIssuer
201181310MedicaidMO
841682728OtherTAX ID
P00274064OtherRR 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
I20040102000804 MO Practitioner - Nephrology 2365348349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Washington University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Specialists of St Lukes LLCGroup PAC ID 0749213072, 13 clinicians

Practice addresses (Care Compare)

222 S Woods Mill Rd
Suite 750N
Chesterfield, MO 63017-3653
Phone (314) 205-6600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of St Lukes LLC Nephrology CurrentSince Jul 1, 2005 Accepting new patients
Cardiothoracic Surgery, LLC Past Accepting new patients

Locations

222 S Woods Mill Rd
Ste 750N
Chesterfield, MO 63017
Phone (314) 205-6600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1760597629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 750",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173653",
            "telephone_number": "314-205-6600",
            "fax_number": "314-205-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 750",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-205-6600",
            "fax_number": "314-205-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHLMAN",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "R9417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201181310",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "841682728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00274064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.