Ali Etemady-deylamy, - Medicare Internal Medicine in Saint Louis, MO

Ali Etemady-deylamy, is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Saint Louis, Missouri. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice St Anthonys Physician Organization Hospitalist Services Lc, Infectious Diseases Pc and his current practice location is 10010 Kennerly Rd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 525-1328.

Ali Etemady-deylamy is licensed to practice in Missouri (license number 2017016664) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760864888.

Contact Information

Ali Etemady-deylamy,
10010 Kennerly Rd,
Saint Louis, MO 63128
(314) 525-1328
Not Available

Map and Direction




Physician's Profile

Full NameAli Etemady-deylamy
GenderMale
SpecialityInternal Medicine
Experience9 Years
Location10010 Kennerly Rd, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ali Etemady-deylamy graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1760864888
  • Provider Enumeration Date: 06/25/2015
  • Last Update Date: 08/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486946076
  • Enrollment ID: I20190326001069

Medical Identifiers

Medical identifiers for Ali Etemady-deylamy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760864888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101021789 (Michigan)Secondary
207R00000XInternal Medicine 2016015544 (Missouri)Secondary
207R00000XInternal Medicine 2017016664 (Missouri)Secondary
207RI0200XInternal Medicine - Infectious Disease 2017016664 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm St Joseph Health CenterSaint charles, MOHospital
Ssm Depaul Health CenterBridgeton, MOHospital
Ssm St Joseph Hospital WestLake saint louis, MOHospital
Mercy Hospital SouthSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Anthonys Physician Organization Hospitalist Services Lc5092980656104
Infectious Diseases Pc63058809569

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ali Etemady-deylamy allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Adult Hospitalists - St. Louis, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841235108
PECOS PAC ID: 6002809944
Enrollment ID: O20040406001004
Entity NameInfectious Diseases Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720055452
PECOS PAC ID: 6305880956
Enrollment ID: O20050614001062
Entity NameMercy Clinic Adult Hospitalists - Washington, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891943429
PECOS PAC ID: 3577630540
Enrollment ID: O20080917000782
Entity NameSt Anthonys Physician Organization Hospitalist Services Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407216336
PECOS PAC ID: 5092980656
Enrollment ID: O20111208000771
Entity NameMercy Clinic Adult Hospitalists Jefferson Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083052492
PECOS PAC ID: 8628205598
Enrollment ID: O20131220001798
Entity NameMercy Hospital Lincoln
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962808733
PECOS PAC ID: 5193040020
Enrollment ID: O20150623002541
Entity NameInfectious Disease
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225494628
PECOS PAC ID: 2466758172
Enrollment ID: O20160307001211

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ali Etemady-deylamy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ali Etemady-deylamy,
10010 Kennerly Rd,
Saint Louis, MO 63128-2106

Ph: (314) 525-1328
Ali Etemady-deylamy,
10010 Kennerly Rd,
Saint Louis, MO 63128

Ph: (314) 525-1328

Reviews and Comments


Internal Medicine Doctors in Saint Louis, MO

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Nathan Farkas, M.D.
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Dr. Randy Olivier Laine, MD
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Phone: 314-362-1700    Fax: 314-362-9878
Dr. Erin Leigh Dyer, MD
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Medicare: Medicare Enrolled
Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108
Phone: 314-362-5060    Fax: 314-362-6959

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.