NPIMap

Organization Active NPI

St. Louis Infectious Disease Specialists, LLC

  • Infectious Disease Physician
  • Saint Louis, MO
National Provider Identifier
1881900124
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2004025502 Issued in MO
Legal business name
ST. LOUIS INFECTIOUS DISEASE SPECIALISTS, LLC
Practice address
3844 S Lindbergh Blvd
Suite 250
Saint Louis, MO 63127-1368
Phone
(618) 670-7090
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Dr. Rajeev Dewan, M.D.NPI 1699806638
Title
Physician
Phone
(618) 624-0220

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X 2004025502 MO Primary
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X 2008019273 MO

Addresses

Primary practice location

3844 S Lindbergh Blvd
Suite 250
Saint Louis, MO 63127-1368

Mailing address

PO Box 713
10 Fenton Plaza
Fenton, MO 63026-0713
Phone (618) 624-0220

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1881900124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713",
            "address_2": "10 FENTON PLAZA",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630260713",
            "telephone_number": "618-624-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 S LINDBERGH BLVD",
            "address_2": "SUITE 250",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271368",
            "telephone_number": "618-670-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS INFECTIOUS DISEASE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "DEWAN",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "618-624-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2004025502",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2008019273",
            "primary": false
        }
    ],
    "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 Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.