Individual provider Active NPI

Ji Huang, MD

  • Internal Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1922237130
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2012035760 Issued in MO
Practice address
224 S Woods Mill Rd Ste 370S
Chesterfield, MO 63017-3603
Phone
(314) 878-2460
Fax
(314) 878-2467
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2012035760 MO Primary

Addresses

Primary practice location

224 S Woods Mill Rd Ste 370S
Chesterfield, MO 63017-3603

Mailing address

224 S Woods Mill Rd Ste 370S
Chesterfield, MO 63017-3603
Phone (314) 878-2460

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
I20130220000417 MO Practitioner - Internal Medicine 5092960179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

224 S Woods Mill Rd
Suite 370S
Chesterfield, MO 63017-3603
Phone (314) 878-2460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012035760MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ji Huang LLC Internal Medicine CurrentSince Jun 18, 2020 Accepting new patients
St. Lukes Medical Group Internal Medicine PastSince Dec 18, 2017 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

224 S Woods Mill Rd
Ste 370S
Chesterfield, MO 63017
Phone (314) 878-2460

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1922237130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD STE 370S",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173603",
            "telephone_number": "314-878-2460",
            "fax_number": "314-878-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD STE 370S",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173603",
            "telephone_number": "314-878-2460",
            "fax_number": "314-878-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2012035760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.