Active NPI
Julian N Verde, M.D.
- Diagnostic Radiology Physician
- Saint Louis, MO
National Provider Identifier
1972597078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 28654
- Practice address
- 450 N New Ballas Rd
Ste. 250
Saint Louis, MO 63141-6835 - Phone
- (314) 567-4449
- Fax
- (314) 567-0762
- NPI assigned
- Sep 2, 2005
- Last updated
- Jan 7, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 28654 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 28654 | MO | Primary |
Addresses
Primary practice location
450 N New Ballas Rd
Ste. 250
Saint Louis, MO 63141-6835
Mailing address
PO Box 1279
Arnold, MO 63010-7279
Phone (696) 282-0184
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1600137 | Other | UNITED HEALTHCARE | |
| 1600141 | Other | UNITED HEALTHCARE | |
| 1600278 | Other | UNITED HEALTHCARE | |
| 1600026 | Other | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28654 | MO | MD | Nuclear Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Radiology Group LTD | Diagnostic Radiology | Past | Accepting new patients |
| Open Imaging Partners | Diagnostic Radiology | Past | Accepting new patients |
| Watson Imaging Center | Diagnostic Radiology | Past | Accepting new patients |
| Pearl Imaging, LLC | Past | Accepting new patients | |
| JSM Enterprises, LLC | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1972597078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1279",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630107279",
"telephone_number": "696-282-0184",
"fax_number": "696-282-9852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N NEW BALLAS RD",
"address_2": "STE. 250",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416835",
"telephone_number": "314-567-4449",
"fax_number": "314-567-0762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDE",
"first_name": "JULIAN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "MO",
"license": "28654",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "28654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1600137",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1600141",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1600278",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1600026",
"state": null
}
],
"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 Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.