NPIMap

Organization Active NPI

Infectious Diseases, PC

  • Infectious Disease Physician
  • Saint Louis, MO
National Provider Identifier
1942587464
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
108767 Issued in 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
Last updated
Jun 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Dr. Aamina Akhtar, MDNPI 1124095831
Title
President
Phone
(314) 821-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 108767 MO Primary

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 1

IdentifierTypeStateIssuer
000013458OtherMOMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

400 1st Capitol Dr
Ste 300
Saint Charles, MO 63301
Phone (636) 925-0900

745 Friedens Rd
Saint Charles, MO 63303
Phone (636) 925-0900

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1942587464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 1ST CAPITOL DR",
            "address_2": "#260",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012835",
            "telephone_number": "314-821-0900",
            "fax_number": "800-556-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "171B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-821-0900",
            "fax_number": "800-556-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "AKHTAR",
        "authorized_official_first_name": "AAMINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-821-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "108767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "000013458",
            "state": "MO"
        }
    ],
    "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 Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.