Infectious Diseases, PC
Organization Active NPI Infectious Disease Physician · Saint Louis, MO
NPI 1942587464 · NPPES record last updated Jun 30, 2016
Key facts
- NPI
- 1942587464
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 108767 (MO)
- Legal business name
- INFECTIOUS DISEASES, PC
- Practice address
- 10004 Kennerly Rd
171B
Saint Louis, MO 63128-2141 - Phone
- (314) 821-0900
- Fax
- (800) 556-8932
- NPI assigned
- Nov 11, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Aamina Akhtar, MD
- Title
- President
- Phone
- (314) 821-0900
Other NPIs on the same Medicare enrollment 1
Practitioners 14
-
Ramona Aitken, MD
-
Uchenna Therese Ikediobi, M.D.
-
Blessy John, M.D.
-
Lee Kien Yong, M.D.
-
Andreia L Cage, ACNP
-
Jessica R Doiron, ANP
-
Karen Louise Scaglione, ACNP
-
Clare N Gentry, M.D.
-
Trevor J Slom, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050614001062 | MO | Part B Supplier - Clinic/Group Practice | 6305880956 |
Receives reassigned benefits from 10 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: St Charles, MO; Saint Louis, MO; Saint Charles, MO; Lake St Louis, MO; Festus, MO; Bridgeton, MO |
National Provider Directory
Locations
330 1st Capitol Dr
Ste 260
Saint Charles, MO 63301
Phone (636) 723-6800
745 Friedens Rd
Saint Charles, MO 63303
Phone (636) 925-0900
400 1st Capitol Dr
Ste 300
Saint Charles, MO 63301
Phone (636) 925-0900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | 108767 | MO | Yes |
Addresses
Primary practice location
10004 Kennerly Rd
171B
Saint Louis, MO 63128-2141
Mailing address
330 1St Capitol Dr
#260
Saint Charles, MO 63301-2835
Phone (314) 821-0900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000013458 | Other | MO | MEDICARE GROUP PTAN |
Other providers in Saint Louis, MO
- Infectious Disease Consultants, Inc.
- Infectious Disease Physicians LLC
- Infectious Disease, PC
- Infectious Diseases Consultants LLC
- Infectious Diseases PC
- Infertility & Gynecologic Medicine
- Infinite Care in Home Health Service LLC
- Infinite Creations Foundation Inc
- Infinite Home Healthcare LLC
- Infiniti Care Home Health LLC
All providers in Saint Louis, MO · Infectious Disease Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.