Individual provider Active NPI

Marta H. Da Silva, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1831176353
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
101890 Issued in MO
Practice address
13100 Manchester Rd Ste 150
Saint Louis, MO 63131-1743
Phone
(314) 692-7886
Fax
(314) 692-7929
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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 101890 MO Primary

Addresses

Primary practice location

13100 Manchester Rd Ste 150
Saint Louis, MO 63131-1743

Mailing address

13100 Manchester Rd Ste 150
Saint Louis, MO 63131-1743
Phone (314) 692-7886

Other identifiers 1

IdentifierTypeStateIssuer
206981615MedicaidMO

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
I20040913000403 MO Practitioner - Psychiatry 4082681820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Washington University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13100 Manchester Rd
Suite 155
Des Peres, MO 63131-1703
Phone (314) 394-1171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101890MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations for Change, LLC CurrentSince Nov 19, 2024 Accepting new patients
St Louis Counseling Inc PastSince Oct 27, 2009 Accepting new patients
Chaganti and Associates PC Psychiatry Past Accepting new patients
Compass Health, Inc Past Accepting new patients
Catholic Family Services Inc. Past Accepting new patients
Compass Health, Inc. Past Accepting new patients

Locations

13100 Manchester Rd
Ste 155
Saint Louis, MO 63131
Phone (314) 394-1171

Organizations & group practices 6

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1831176353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 MANCHESTER RD STE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311743",
            "telephone_number": "314-692-7886",
            "fax_number": "314-692-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 MANCHESTER RD STE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311743",
            "telephone_number": "314-692-7886",
            "fax_number": "314-692-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA SILVA",
        "first_name": "MARTA",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "101890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206981615",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.