Organization Active NPI

Gateway Healthcare LTD

  • Adult Medicine Physician
  • Webster Groves, MO
National Provider Identifier
1861408650
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
GATEWAY HEALTHCARE LTD
Practice address
7491 Big Bend Blvd
Webster Groves, MO 63119-2101
Phone
(314) 961-3038
Fax
(314) 961-6731
NPI assigned
Jul 31, 2006
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Ms. Mahrukh Khan, M.D.NPI 1568596336
Title
Ceo
Phone
(314) 961-3038

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
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

7491 Big Bend Blvd
Webster Groves, MO 63119-2101

Mailing address

PO Box 2153 Dept 30704
Birmingham, AL 35287-9257
Phone (314) 961-3038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071108000067 MO Part B Supplier - Clinic/Group Practice 2163519158 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO; Valley Park, MO; St Louis, MO; Liguori, MO; Kirkwood, MO; Fenton, MO; Des Peres, MO; Chesterfield, MO
O20080506000045 IL Part B Supplier - Clinic/Group Practice 2163519158 Receives reassigned benefits from 1 practitioner
Practice locations: Swansea, IL; Freeburg, IL; Belleville, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1027046Gateway Healthcare LTD7491 Big Bend Blvd, Saint Louis, MO 63119Certificate of waiverJun 21, 2028

National Provider Directory

National Provider Directory

Locations

300 Liguori Dr
Barnhart, MO 63012

13354 Manchester Rd
Ste 275
Saint Louis, MO 63131
Phone (314) 394-0386

3625 Magnolia Ave
#N
Saint Louis, MO 63110
Phone (314) 771-2990

140 E Lockwood Ave
Webster Groves, MO 63119
Phone (314) 961-3038

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1861408650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153 DEPT 30704",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352879257",
            "telephone_number": "314-961-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7491 BIG BEND BLVD",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192101",
            "telephone_number": "314-961-3038",
            "fax_number": "314-961-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY HEALTHCARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MAHRUKH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-961-3038",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Groves, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.