Active NPI
Mojdeh Zahedi, MD
- Family Medicine Physician
- Ballwin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2009035024
- Practice address
- 15945 Clayton Rd
Suite 310
Ballwin, MO 63011-2490 - Phone
- (636) 256-5181
- Fax
- (636) 256-5370
- NPI assigned
- Feb 25, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P3271 | TX | |
| Family Medicine Physician | 207Q00000X | 2009035024 | MO | Primary |
Addresses
Primary practice location
15945 Clayton Rd
Suite 310
Ballwin, MO 63011-2490
Mailing address
15945 Clayton Rd
Suite 310
Ballwin, MO 63011-2490
Phone (636) 256-5181
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15945 Clayton Rd
Ballwin, MO 63011-2490
Phone (636) 256-5070
621 S New Ballas Rd
Suite 189a
Saint Louis, MO 63141-8255
Phone (314) 251-6335
621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192
9594 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 274-6314
Hospital & facility affiliations
- Mercy Home Health
- Mercy Hospice
- Mercy Hospital St Louis
- St Lukes Hospital
- Barnes-Jewish West County Hospital
- Mercy Hospital South
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
Locations
15945 Clayton Rd
Ste 330
Ballwin, MO 63011
Phone (636) 256-5380
15945 Clayton Rd
Ste 310
Ballwin, MO 63011
Phone (636) 893-1356
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
Interoperability endpoints
- mzahedi396091@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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Family Medicine
-
- Rehabilitation Clinic/Center
- Arnold, MO
- NPI 1639400179
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1831107895
-
- Home Health Agency
- Saint Louis, MO
- NPI 1154407112
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1487739033
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1942479894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15945 CLAYTON RD",
"address_2": "SUITE 310",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112490",
"telephone_number": "636-256-5181",
"fax_number": "636-256-5370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15945 CLAYTON RD",
"address_2": "SUITE 310",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112490",
"telephone_number": "636-256-5181",
"fax_number": "636-256-5370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAHEDI",
"first_name": "MOJDEH",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P3271",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2009035024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.