DR. ALI AKBAR MEHDIRAD M.D. NPI 1093770257

NPI Information

NPI: 1093770257
Provider Name: DR. ALI AKBAR MEHDIRAD, M.D.
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
777 S NEW BALLAS RD
SUITE 300E
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 432-7839
Get Directions

DR. Ali Akbar Mehdirad, M.D. is a clinical cardiac electrophysiology internal medicine in Saint Louis, MO. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Ali Akbar Mehdirad, M.D. NPI is 1093770257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

777 S NEW BALLAS RD
SUITE 300E
SAINT LOUIS, MO
ZIP 63141-705
Phone: (314) 432-7839
Fax: (314) 432-4839

The NPI 1093770257 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 7/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	R5G76	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E56431	MEDICARE UPIN	MISSOURI
2	431908828	OTHER	MISSOURI	TAX ID#
3	CH4229	OTHER	MISSOURI	RR MEDICARE GROUP#
4	000013355	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	GROUP PROVIDER#
5	505207209	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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