Individual provider Active NPI

Sadashiv Parwatikar, MD

  • Forensic Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1992793145
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
R4268 Issued in MO
Practice address
2107 Menard St
Saint Louis, MO 63104-4140
Phone
(314) 776-0337
Fax
(314) 776-7504
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X R4268 MO Primary

Addresses

Primary practice location

2107 Menard St
Saint Louis, MO 63104-4140

Mailing address

2107 Menard St
Saint Louis, MO 63104-4140
Phone (314) 776-0337

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
I20130419000173 MO Practitioner - Psychiatry 8820234701 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4268MOMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Missouri CurrentSince Nov 1, 2015 Accepting new patients
Betty Jean Kerr People'S Health Centers CurrentSince Nov 11, 2013 Accepting new patients
State of Missouri CurrentSince Nov 1, 2015 Accepting new patients

Locations

5701 Delmar Blvd
Saint Louis, MO 63112
Phone 31436778481248

5300 Arsenal St
Saint Louis, MO 63139
Phone (314) 644-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1992793145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 MENARD ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631044140",
            "telephone_number": "314-776-0337",
            "fax_number": "314-776-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 MENARD ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631044140",
            "telephone_number": "314-776-0337",
            "fax_number": "314-776-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARWATIKAR",
        "first_name": "SADASHIV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MO",
            "license": "R4268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.