Active NPI
Renu Teckchandani, M.D
- Hospitalist Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2014026572
- Practice address
- 3015 N Ballas Rd
Saint Louis, MO 63131-2329 - Phone
- (314) 996-5772
- Fax
- (314) 996-7691
- NPI assigned
- Jul 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2014026572 | MO | Primary |
| Hospitalist Physician | 208M00000X | 036135738 | IL | |
| Internal Medicine Physician | 207R00000X | 036135738 | IL |
Addresses
Primary practice location
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Mailing address
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5772
Other practice location 1
211 S 3rd St
Belleville, IL 62220-1915
Phone (618) 234-2120
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical PLZ
FL 5
Lake Saint Louis, MO 63367-1366
Phone (636) 755-6500
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1899
10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-3423
1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195
12380 Depaul Dr
Bridgeton, MO 63044-2511
Phone (314) 447-9700
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5772
Hospital & facility affiliations
- BJC Hospice
- Missouri Baptist Medical Center
- Mercy Hospital South
- Barnes Jewish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036135738 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Physician Group, Missouri, LLC | Internal Medicine | Current | Accepting new patients |
| Physician Groups LC | Current | Accepting new patients | |
| Physician Groups LC | Internal Medicine | Current | Accepting new patients |
| St Anthonys Physician Organization Hospitalist Services, L.C. | Hospitalist | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists - Washington, LLC | Hospitalist | Current | Accepting new patients |
| Mercy Hospital Lincoln | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Internal Medicine | Current | Accepting new patients |
| In Charge Medical Professionals LLC | Internal Medicine | Past | Accepting new patients |
| Missouri Baptist Medical Center | Past | Accepting new patients |
Locations
12380 De Paul Dr
Bridgeton, MO 63044
Phone (314) 447-9700
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
1027 Bellevue Ave
Saint Louis, MO 63117
Phone (314) 768-5202
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- rteckchandani1214388@direct.carenet.org
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Bridgeton, MO
- NPI 1962971531
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
-
- Hospitalist Physician
- Washington, MO
- NPI 1891943429
-
- Internal Medicine Physician
- Festus, MO
- NPI 1083052492
-
- Multi-Specialty Clinic/Center
- Farmington, MO
- NPI 1427114990
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- Internal Medicine Physician
- Peachtree City, GA
- NPI 1124426606
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1891705547
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1831477421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 N BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312329",
"telephone_number": "314-996-5772",
"fax_number": "314-996-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 N BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312329",
"telephone_number": "314-996-5772",
"fax_number": "314-996-7691"
}
],
"practiceLocations": [
{
"address_1": "211 S 3rd St",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622201915",
"country_code": "US",
"telephone_number": "618-234-2120",
"fax_number": "618-641-5806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TECKCHANDANI",
"first_name": "RENU",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-29",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2014026572",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036135738",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036135738",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3015 N Ballas Rd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631312329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.