NPIMap

Individual provider Active NPI

Joshua Peter Nadaud, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1962653170
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
2010009172 Issued in MO
Practice address
555 N New Ballas Rd Ste 175
Saint Louis, MO 63141-6884
Phone
(314) 786-2663
Fax
(314) 279-1037
NPI assigned
Oct 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2010009172 MO
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 2010009172 MO Primary

Addresses

Primary practice location

555 N New Ballas Rd Ste 175
Saint Louis, MO 63141-6884

Mailing address

PO Box 31218
Saint Louis, MO 63131-0218
Phone (314) 786-2663

Other practice location 1

845 N New Ballas Ct Ste 200
Saint Louis, MO 63141-7169
Phone (314) 983-4700

Other identifiers 1

IdentifierTypeStateIssuer
1962653170MedicaidMO

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
I20100709000207 MO Practitioner - Orthopedic Surgery 2264564277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Saint Louis University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agility Orthopaedics, LLCGroup PAC ID 0345545497, 4 clinicians

Practice addresses (Care Compare)

555 N New Ballas Rd
Suite 175
Saint Louis, MO 63141-6825
Phone (314) 786-2663

9594 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 274-6314

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)19
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010009172MOMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agility Orthopaedics, LLC Orthopaedic Surgery CurrentSince Mar 1, 2016 Accepting new patients
Bodavula MD LLC PastSince Mar 1, 2016 Accepting new patients

Locations

555 N New Ballas Rd
Ste 175
Saint Louis, MO 63141
Phone (314) 786-2663

Organizations & group practices 3

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 6

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962653170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31218",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631310218",
            "telephone_number": "314-786-2663",
            "fax_number": "314-279-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD STE 175",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416884",
            "telephone_number": "314-786-2663",
            "fax_number": "314-279-1037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 N New Ballas Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631417169",
            "country_code": "US",
            "telephone_number": "314-983-4700",
            "fax_number": "314-692-9862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADAUD",
        "first_name": "JOSHUA",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2010009172",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MO",
            "license": "2010009172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962653170",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.