Organization Active NPI

Sharad P Parikh MD PC

  • Vascular Surgery Physician
  • Florissant, MO
National Provider Identifier
1790804532
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
33867 Issued in MO
Legal business name
SHARAD P PARIKH MD PC
Practice address
11905 W Florissant Ave
Suite 100
Florissant, MO 63033-6778
Phone
(314) 831-4200
Fax
(314) 831-7632
NPI assigned
Mar 29, 2007
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Dr. Sharad Parikh, M.D.NPI 1760482384
Title
President
Phone
(314) 831-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11905 W Florissant Ave
Suite 100
Florissant, MO 63033-6778

Mailing address

11905 W Florissant Ave
Suite 100
Florissant, MO 63033-6778
Phone (314) 831-4200

Other identifiers 1

IdentifierTypeStateIssuer
DG2193OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050531000667 MO Part B Supplier - Clinic/Group Practice 9234171265 Receives reassigned benefits from 1 practitioner
Practice locations: Des Peres, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1790804532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 W FLORISSANT AVE",
            "address_2": "SUITE 100",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336778",
            "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": "11905 W FLORISSANT AVE",
            "address_2": "SUITE 100",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336778",
            "telephone_number": "314-831-4200",
            "fax_number": "314-831-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARAD P PARIKH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "SHARAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-831-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "33867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2193",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.