Organization Active NPI

Sarina Tek MD LLC

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1881469013
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SARINA TEK MD LLC
Practice address
845 N New Ballas CT Ste 310
Saint Louis, MO 63141-7169
Phone
(314) 934-0551
Fax
(314) 272-3952
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Dr. Sarina Tekwani Phatak, MDNPI 1366556912
Title
Physician
Phone
(314) 934-0551

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

845 N New Ballas CT Ste 310
Saint Louis, MO 63141-7169

Mailing address

17 Dunleith Dr
Saint Louis, MO 63124-1895
Phone (314) 458-7403

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240209001692 MO Part B Supplier - Clinic/Group Practice 6406299106 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

845 N New Ballas Ct
Ste 310
Saint Louis, MO 63141
Phone (314) 692-0221

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1881469013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DUNLEITH DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241895",
            "telephone_number": "314-458-7403",
            "fax_number": "314-272-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N NEW BALLAS CT STE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417169",
            "telephone_number": "314-934-0551",
            "fax_number": "314-272-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARINA TEK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "PHATAK",
        "authorized_official_first_name": "SARINA",
        "authorized_official_middle_name": "TEKWANI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-934-0551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 17, 2023; 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.