Active NPI
Madhura G Joag, MD
- Hospitalist Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2019038128
- Practice address
- 1201 S Grand Blvd
Saint Louis, MO 63104-1016 - Phone
- (314) 257-8222
- Fax
- (314) 257-8221
- NPI assigned
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2019038128 | MO | |
| Internal Medicine Physician | 207R00000X | 267638 | MA | |
| Hospitalist Physician | 208M00000X | 2019038128 | MO | Primary |
Addresses
Primary practice location
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Mailing address
110 N Newstead Ave Apt 104
Saint Louis, MO 63108-2268
Phone (305) 972-7872
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191022002262 | MO | Practitioner - Hospitalist | 2466730445 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
Hospital & facility affiliations
- SSM Health Saint Louis University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care Group | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Internal Medicine | Current | Accepting new patients |
| SSM-Sluh Inc | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 260
Rolla, MO 65401
Phone (417) 255-1373
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
Interoperability endpoints
- mjoag516327@direct-ehr-ssmhc.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Internal Medicine, MO
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
MO
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
Internal Medicine
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
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": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1922457712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N NEWSTEAD AVE APT 104",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082268",
"telephone_number": "305-972-7872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041016",
"telephone_number": "314-257-8222",
"fax_number": "314-257-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOAG",
"first_name": "MADHURA",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2019038128",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "267638",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2019038128",
"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 May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.