NPIMap

Individual provider Active NPI

Nathaniel Wachter, MD

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1922492123
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2021022166 Issued in MO
Practice address
621 S New Ballas Rd # Towerb
Saint Louis, MO 63141-8232
Phone
(314) 251-6075
NPI assigned
Mar 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2021022166 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd # Towerb
Saint Louis, MO 63141-8232

Mailing address

621 S New Ballas Rd # Towerb
Saint Louis, MO 63141-8232

Other practice location 1

3599 Rainbow Blvd # MS 2012
Kansas City, KS 66103-2078
Phone (913) 588-6970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816000788 MO Practitioner - Neurology 8224336946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Southern Illinois University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Neurology, LLCGroup PAC ID 8729183967, 21 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
5003B
Saint Louis, MO 63141-8270
Phone (314) 227-2020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021022166MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Jul 1, 2022 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 1, 2022 Accepting new patients
Mercy Clinic Neurology, LLC Neurology CurrentSince Aug 16, 2021 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients
Ozarks Medical Center Neurology Past Accepting new patients

Locations

621 S New Ballas Rd
Ste 6005B
Saint Louis, MO 63141
Phone (314) 251-6075

621 S New Ballas Rd
Ste 5003B
Saint Louis, MO 63141
Phone (314) 227-2020

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

621 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 432-0099

1176 Town and Country Commons Dr
Town and Country, MO 63017
Phone (636) 207-2200

Organizations & group practices 5

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 8

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1922492123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD # TOWERB",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD # TOWERB",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3599 Rainbow Blvd # MS 2012",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661032078",
            "country_code": "US",
            "telephone_number": "913-588-6970",
            "fax_number": "913-588-6965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WACHTER",
        "first_name": "NATHANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2021022166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.