Individual provider Active NPI

Somasekhar R Bandi, M.D.

  • Medical Oncology Physician
  • Saint Louis, MO
National Provider Identifier
1922034321
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
105454 Issued in MO
Practice address
607 S New Ballas Rd
Suite 3125
Saint Louis, MO 63141-8222
Phone
(314) 353-1870
Fax
(314) 353-1984
NPI assigned
Jun 25, 2006
Last updated
Jul 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 105454 MO Primary

Addresses

Primary practice location

607 S New Ballas Rd
Suite 3125
Saint Louis, MO 63141-8222

Mailing address

607 S New Ballas Rd
Suite 3125
Saint Louis, MO 63141-8222
Phone (314) 353-1870

Other identifiers 4

IdentifierTypeStateIssuer
209796622MedicaidMO
1922034321MedicaidMO
P00684805OtherMORAILROAD MEDICARE
43-1823174OtherMOTAX IDENTIFICATION NUMBER

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
I20050630000285 MO Practitioner - Hematology/Oncology 1951347913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oncology LLCGroup PAC ID 1153446471, 30 clinicians

Practice addresses (Care Compare)

15945 Clayton Rd
Suite 120
Ballwin, MO 63011-2490
Phone (636) 256-5000

607 S New Ballas Rd
Saint Louis, MO 63141-8219
Phone (314) 251-4400

615 S New Ballas Rd 5TH Floor
St Louis, MO 63141-8221

901 Patients 1St Dr
Washington, MO 63090-4700
Phone (636) 390-1600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oncology, LLC CurrentSince Jan 27, 2015 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

15945 Clayton Rd
Ste 120
Ballwin, MO 63011
Phone (636) 256-5000

607 S New Ballas Rd
Ste 33
Saint Louis, MO 63141
Phone (314) 251-4400

6435 Chippewa St
Saint Louis, MO 63109
Phone (314) 353-1870

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Interoperability endpoints

  • Direct secure messaging: sbandi14426@directc.mercy.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1922034321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD",
            "address_2": "SUITE 3125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418222",
            "telephone_number": "314-353-1870",
            "fax_number": "314-353-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD",
            "address_2": "SUITE 3125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418222",
            "telephone_number": "314-353-1870",
            "fax_number": "314-353-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDI",
        "first_name": "SOMASEKHAR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "105454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209796622",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922034321",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00684805",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "43-1823174",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.