Dr Nishant Poddar, MD | |
15945 Clayton Rd Ste 120, Ballwin, MO 63011-2490 | |
(636) 256-5000 | |
Not Available |
Full Name | Dr Nishant Poddar |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 21 Years |
Location | 15945 Clayton Rd Ste 120, Ballwin, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124387675 | NPI | - | NPPES |
200001507 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RX0202X | Internal Medicine - Medical Oncology | 036147565 (Illinois) | Secondary |
207RX0202X | Internal Medicine - Medical Oncology | 2012034335 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Ozarks Medical Center | West plains, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Oncology Llc | 1153446471 | 25 |
Entity Name | Ozarks Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
Entity Name | Mercy Clinic Oncology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407169915 PECOS PAC ID: 1153446471 Enrollment ID: O20100909001214 |
Mailing Address | Practice Location Address |
---|---|
Dr Nishant Poddar, MD Po Box 505673, St Louis, MO 63150 Ph: () - | Dr Nishant Poddar, MD 15945 Clayton Rd Ste 120, Ballwin, MO 63011-2490 Ph: (636) 256-5000 |
Dr. Mazin Hazim Kamil, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Remington Place Ct, Ballwin, MO 63021 Phone: 094-122-2052 | |
Christine Ann Sigman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15945 Clayton Rd, Suite 310, Ballwin, MO 63011 Phone: 636-256-5350 Fax: 636-256-5370 | |
Dr. David S Rosenberg, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 58 Meadowbrook Cntry Cl Est, Ballwin, MO 63011 Phone: 314-420-6663 Fax: 636-227-2299 | |
Jacob Andrew Zembles, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 15945 Clayton Rd Ste 120, Ballwin, MO 63011 Phone: 636-256-5070 | |
Lauren Bush King, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 15945 Clayton Rd, Suite 340, Ballwin, MO 63011 Phone: 636-256-5130 Fax: 636-256-5147 | |
David M. Schoenwalder, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15945 Clayton Rd, Suite 310, Ballwin, MO 63011 Phone: 636-256-5350 Fax: 636-256-5372 |