Ameesh Dara (NPI# 1417367244, PAC ID# 7618279159) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1417367244 |
| PAC ID by PECOS | 7618279159 |
| Professional Enrollment ID | I20190924003212 |
| Full Name | Ameesh Dara |
| Organization Legal Name | METRO ST LOUIS RENAL SERVICES INC |
| Address |
23 N Oaks Plz Suite 274 Saint Louis MO 63121-2917 |
| Phone Number | 3148690370 |
| Gender | M |
| Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2014 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0941224547 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 10160 W Florissant Ave, Suite 200, Saint Louis, MO 63136-2104 | 3148690370 | METRO ST LOUIS RENAL SERVICES INC |
| 23 N Oaks Plz, Suite 274, Saint Louis, MO 63121-2917 | 3148690370 | METRO ST LOUIS RENAL SERVICES INC |
| 4100 Union Blvd B, Saint Louis, MO 63115-1225 | 3145311112 | ADVANCED MEDICAL ASSOCIATES, LLC |
| Organization Legal Name | METRO ST LOUIS RENAL SERVICES INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bhajan S Dara | Internal Medicine | Metro St Louis Renal Services Inc | 10160 W Florissant Ave, Suite 200, Saint Louis, MO 63136-2104 |
| Street Address |
23 N OAKS PLZ SUITE 274 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63121-2917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Spezia | Family Medicine | 23 N Oaks Plz, Suite 200, Saint Louis, MO 63121-2917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna M Baudendistel | Nurse Practitioner | St Louis Medical Center Inc | 1701 S Florissant Rd, St Louis, MO 63121-1131 |
| David A Sciortino | Chiropractic | St Louis Medical Center Inc | 1701 S Florissant Rd, St Louis, MO 63121-1131 |
| Rajendra Rao Gavini | General Practice | Ipc Pac Healthcare Services of Missouri Inc | 5303 Bermuda Dr, Saint Louis, MO 63121-1407 |
| Patricia Edwards-parrish | Nurse Practitioner | County of St Louis Division of Fiscal Management | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 |
| Emily Drazinski Doucette | Family Medicine | County of St Louis Division of Fiscal Management | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 |
| Denise L Spear | Nurse Practitioner | County of St Louis Division of Fiscal Management | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 |
| Joshua P Branham | Physician Assistant | County of St Louis Division of Fiscal Management | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 |
| Matthew K Lee | Optometry | Curators of The University of Missouri | 7840 Natural Bridge Rd, Saint Loius, MO 63121-4617 |
| Hamnah T Siddiqui | Obstetrics/gynecology | Ssm Medical Group Inc | 7840 Natural Bridge Rd, Saint Loius, MO 63121-4617 |
| Beth A Henderson | Optometry | Curators of The University of Missouri | 7840 Natural Bridge Rd, Saint Loius, MO 63121-4617 |
| Find all physicians in zip 63121 | |||
| City | SAINT LOUIS |
| Zip Code | 63121 |
| Specialty | NEPHROLOGY |
| City + Specialty | SAINT LOUIS + NEPHROLOGY |
Please comment or provide details below to improve the information on Ameesh Dara.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.