SAMER THANAVARO MD NPI 1619960606

NPI Information

  • NPI: 1619960606
  • Provider Name: SAMER THANAVARO, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11125 DUNN RD
    SUITE 204
    SAINT LOUIS, MO
    ZIP 63136
  • Phone: (314) 839-5522

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NPI Details

Samer Thanavaro, MD is a cardiovascular disease internal medicine in Saint Louis, MO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Samer Thanavaro, MD NPI is 1619960606. 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:

11125 DUNN RD
SUITE 204
SAINT LOUIS, MO
ZIP 63136-132
Phone: (314) 839-5522
Fax: (314) 839-5351

The NPI 1619960606 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days (HCPCS:93296)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)

The enumeration date for this NPI number is 8/25/2005 and was last updated on 12/2/2021.

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
1207RC0000XInternal MedicineCardiovascular Disease036072313ILLINOISNo
2207RC0000XInternal MedicineCardiovascular DiseaseR6765MISSOURIYes

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
11259965OTHERCIGNA
2431098908OTHERTRICARE
3000000012939OTHERESSENCE
4200998417MEDICAIDMISSOURI
52333V3831OTHERGHP/CMR
6060067960OTHERILLINOISILRRMCR
72500083OTHERUHC
843336V30946OTHERHLTHPART
9A13504OTHERMERCY
10110099256OTHERMISSOURIMORRMCR
11119171OTHERHLNK
124037808OTHERAETNA
137268V8816OTHERHCUSA

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: 11/21/2025

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