ACHRAF HANI JARDALY MD
NPI 1245971563
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since April 02, 2022PECOS Enrolled
1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-9851 Get Directions Write a Review

NPPES record last updated: April 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Achraf Hani Jardaly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACHRAF HANI JARDALY MD (NPI 1245971563) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245971563
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameACHRAF HANI JARDALYCredential: MD
Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address3701 4th AveColumbus, GA 31904-7441 · (470) 452-8878
Sole ProprietorNo
Enumeration DateApril 2, 2022
NPPES CertifiedApril 2, 2022
NPI 1245971563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1201 S GRAND BLVD, Saint Louis, MO 63104

Medicare Participation & PECOS Enrollment Status

Achraf Jardaly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for ACHRAF HANI JARDALY MD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Radiology (Diagnostic Radiology)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Clinical Nurse Specialist (Medical-Surgical)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Internal Medicine (Pulmonary Disease)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Physician Assistant (Medical)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner (Gerontology)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner (Adult Health)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiology
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Urology
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiology
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiology (Critical Care Medicine)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Surgery (Trauma Surgery)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Internal Medicine
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Internal Medicine
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245971563, enumerated as an "individual" on April 02, 2022.

The provider is located at 1201 S GRAND BLVD SAINT LOUIS, MO 63104 and the phone number is (314) 977-9851.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.