| Pai Participant 1 Llc | |
|
505 Couch Ave Kirkwood MO 63122-5577 | |
| (314) 909-6010 | |
| Not Available |
| Full Name | Pai Participant 1 Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 505 Couch Ave, Kirkwood, Missouri |
| Authorized Official Name and Position | Jill C Ford (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 4846432629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pai Participant 1 Llc Po Box 639676 Cincinnati OH 45263-9676 Ph: (859) 291-4800 | Pai Participant 1 Llc 505 Couch Ave Kirkwood MO 63122-5577 Ph: (314) 909-6010 |
| NPI Number | 1093371312 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 03/04/2024 |
| Medicare PECOS PAC ID | 8123351954 |
|---|---|
| Medicare Enrollment ID | O20190611002122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093371312 | NPI | - | NPPES |
| Provider Name | Allison M Burke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346406113 PECOS PAC ID: 7315098142 Enrollment ID: I20110714000055 |
| Provider Name | Marina Pulini Franks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144406083 PECOS PAC ID: 8527225028 Enrollment ID: I20120213000098 |
| Provider Name | Eduardo D Abarca-rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538447628 PECOS PAC ID: 4587883863 Enrollment ID: I20140918001318 |
| Provider Name | Kristen Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467857672 PECOS PAC ID: 2961704929 Enrollment ID: I20160107001389 |
| Provider Name | Mehwash Naseem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528405677 PECOS PAC ID: 3678702958 Enrollment ID: I20161228000336 |
| Provider Name | Mary Theresa Hoang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306015227 PECOS PAC ID: 5698848174 Enrollment ID: I20190103000320 |
| Provider Name | Swati Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497027064 PECOS PAC ID: 5294991139 Enrollment ID: I20190524001635 |
| Provider Name | Zahra Shariff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538260492 PECOS PAC ID: 8527084128 Enrollment ID: I20200413002722 |
| Provider Name | Natalia Allison-bjoerloew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689936890 PECOS PAC ID: 6204086812 Enrollment ID: I20200414003835 |
| Provider Name | Joseph R Barthelemy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447567011 PECOS PAC ID: 5294960985 Enrollment ID: I20200415003593 |
| Provider Name | Tom-meka Archinard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215968698 PECOS PAC ID: 3577454032 Enrollment ID: I20200417002409 |
| Provider Name | Chris Tara Delos Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558673228 PECOS PAC ID: 3577729839 Enrollment ID: I20200727002953 |
| Provider Name | Richa Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518973882 PECOS PAC ID: 1759693237 Enrollment ID: I20200728001744 |
| Provider Name | Richmond Gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089414 PECOS PAC ID: 1951426386 Enrollment ID: I20200728002276 |
| Provider Name | Arsalan Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396984068 PECOS PAC ID: 6103958772 Enrollment ID: I20200728003409 |
| Provider Name | George M Kokolski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275590879 PECOS PAC ID: 8820178064 Enrollment ID: I20200728003853 |
| Provider Name | Amanda Mueller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427217652 PECOS PAC ID: 3870649189 Enrollment ID: I20200729001278 |
| Provider Name | Elizabeth E Samuels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487082020 PECOS PAC ID: 8820383482 Enrollment ID: I20200730000065 |
| Provider Name | Alexis Schmitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558445106 PECOS PAC ID: 9830446160 Enrollment ID: I20200730000081 |
| Provider Name | Jose A Ventura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337763 PECOS PAC ID: 6002068707 Enrollment ID: I20200730001903 |
| Provider Name | Elmira Basaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841511441 PECOS PAC ID: 3870734320 Enrollment ID: I20201110000373 |
| Provider Name | Promise Allan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215584271 PECOS PAC ID: 6002229762 Enrollment ID: I20210119002674 |
| Provider Name | Jennifer Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124227723 PECOS PAC ID: 5799876512 Enrollment ID: I20210414000141 |
| Provider Name | Farouk Talakshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233000 PECOS PAC ID: 4587956420 Enrollment ID: I20210610001179 |
| Provider Name | Grace Iyabo Komolafe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053790816 PECOS PAC ID: 6800140450 Enrollment ID: I20210908000286 |
| Provider Name | Teresa Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194119545 PECOS PAC ID: 0244519726 Enrollment ID: I20210929000519 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457791113 PECOS PAC ID: 0749585131 Enrollment ID: I20211028001396 |
| Provider Name | Chester Laskowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508856550 PECOS PAC ID: 6800798893 Enrollment ID: I20220419000424 |
| Provider Name | Naseer Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962769380 PECOS PAC ID: 0446565238 Enrollment ID: I20220620002080 |
| Provider Name | Pankti Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770961021 PECOS PAC ID: 9032453618 Enrollment ID: I20220718003834 |
| Provider Name | Bradley Geyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740696640 PECOS PAC ID: 7810202603 Enrollment ID: I20220719002116 |
| Provider Name | Shannon Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376035105 PECOS PAC ID: 7315279940 Enrollment ID: I20220721001852 |
| Provider Name | Imelda De Villa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457399370 PECOS PAC ID: 1456363456 Enrollment ID: I20221005002697 |
| Provider Name | Michelle Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215581970 PECOS PAC ID: 6204268147 Enrollment ID: I20221006003335 |
| Provider Name | Tomi Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568936748 PECOS PAC ID: 4082033055 Enrollment ID: I20230519000056 |
| Provider Name | Hima Parchuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386843332 PECOS PAC ID: 9638363542 Enrollment ID: I20230519002167 |
| Provider Name | Ahmed Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407231178 PECOS PAC ID: 1557619913 Enrollment ID: I20230623000053 |
| Provider Name | Zaid Qaraghan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144634809 PECOS PAC ID: 3577782093 Enrollment ID: I20230626000068 |
| Provider Name | Jarrod Nero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881086296 PECOS PAC ID: 9032439187 Enrollment ID: I20230705000968 |
| Provider Name | Akosua Neferteti Obeng-aduasare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230725003995 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20230803001969 |
| Provider Name | Phillip Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427579895 PECOS PAC ID: 0244503001 Enrollment ID: I20230816000927 |
| Provider Name | Angela Welker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770207300 PECOS PAC ID: 1658748835 Enrollment ID: I20230913001277 |
| Provider Name | Mary Obiyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396457537 PECOS PAC ID: 2163877564 Enrollment ID: I20231009002820 |
| Provider Name | Ryan Law Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417208091 PECOS PAC ID: 1052564523 Enrollment ID: I20231009003300 |
| Provider Name | Jennifer Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669858361 PECOS PAC ID: 6002194925 Enrollment ID: I20231108000292 |
| Provider Name | Tawna Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831639020 PECOS PAC ID: 9537418611 Enrollment ID: I20231118000651 |
| Provider Name | Antoaneta Angelova Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679190441 PECOS PAC ID: 6204252158 Enrollment ID: I20231219003857 |
Charles H Tadros, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 S Kirkwood Rd, Kirkwood, MO 63122 Phone: 314-965-1513 Fax: 314-965-1063 | |
Chandra Shekar, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11040 Manchester Rd Ste 1, Kirkwood, MO 63122 Phone: 314-822-4002 Fax: 314-822-7009 | |
Cardio And Vascular Imaging Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1028 S Kirkwood Rd, Kirkwood, MO 63122 Phone: 314-398-3975 | |
Kirkwood Spine And Rehab Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 W Adams Ave, Kirkwood, MO 63122 Phone: 314-965-8084 Fax: 314-965-8612 | |
Missouri Heart Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Suite 400, Kirkwood, MO 63122 Phone: 314-984-8860 | |
Mercy Clinic South Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10296 Big Bend Blvd, Suite 111, Kirkwood, MO 63122 Phone: 314-543-5943 Fax: 314-543-5953 |