Individual provider Active NPI

Mehrzad Seraji, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1942539085
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2014029673 Issued in MO
Practice address
1040 N Mason Rd Ste 201
Saint Louis, MO 63141-6366
Phone
(314) 985-8035
Fax
(314) 985-8034
NPI assigned
Dec 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2014029673 MO Primary

Addresses

Primary practice location

1040 N Mason Rd Ste 201
Saint Louis, MO 63141-6366

Mailing address

1040 N Mason Rd Ste 201
Saint Louis, MO 63141-6366
Phone (314) 985-8035

Other identifiers 1

IdentifierTypeStateIssuer
1942539085MedicaidMO

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
I20141013000974 MO Practitioner - Psychiatry 2668692781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
M Seraji MD LLCGroup PAC ID 9032339205, 3 clinicians

Practice addresses (Care Compare)

1040 N Mason Rd
Suite 201
Saint Louis, MO 63141-6366
Phone (314) 985-8035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M Seraji MD LLC Psychiatry CurrentSince Oct 1, 2014 Accepting new patients

Locations

1040 N Mason Rd
Ste 201
Saint Louis, MO 63141
Phone (314) 985-8034

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1942539085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N MASON RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416366",
            "telephone_number": "314-985-8035",
            "fax_number": "314-985-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N MASON RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416366",
            "telephone_number": "314-985-8035",
            "fax_number": "314-985-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAJI",
        "first_name": "MEHRZAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2014029673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942539085",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.