Individual provider Active NPI

Somkietr Rojanasathit, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • St. Louis, MO
National Provider Identifier
1780788976
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35075 Issued in MO
Practice address
11155 Dunn Road
Suite 201E
St. Louis, MO 63136
Phone
(314) 355-3175
Fax
(314) 355-5175
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35075 MO Primary

Addresses

Primary practice location

11155 Dunn Road
Suite 201E
St. Louis, MO 63136

Mailing address

11155 Dunn Road
Suite 201E
St. Louis, MO 63136
Phone (314) 355-3175

Other identifiers 1

IdentifierTypeStateIssuer
177904OtherBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35075MOMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart R. Adler, MD PC Endocrinology, Diabetes & Metabolism PastSince Dec 11, 2006 Accepting new patients
Rojanasathit,M.D.P.C. Endocrinology, Diabetes & Metabolism Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780788976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DUNN ROAD",
            "address_2": "SUITE 201E",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63136",
            "telephone_number": "314-355-3175",
            "fax_number": "314-355-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DUNN ROAD",
            "address_2": "SUITE 201E",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63136",
            "telephone_number": "314-355-3175",
            "fax_number": "314-355-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJANASATHIT",
        "first_name": "SOMKIETR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "35075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "177904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.