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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HIRALAL TURSHAMAL TEKWANI MD
NPI 1265416697
Ophthalmology in Saint Louis, MO

Active since November 30, 2005PECOS Enrolled
94.43/100
CMS Quality Rating
9911 KENNERLY RD, SAINT LOUIS, MO 63128(314) 842-2020(314) 842-1407 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hiralal Turshamal Tekwani Md NPPES

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

HIRALAL TURSHAMAL TEKWANI MD (NPI 1265416697) is an individual ophthalmology provider in Saint Louis, Missouri, licensed in Missouri (33926) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1967).

NPPES Registry Identity

NPI1265416697
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameHIRALAL TURSHAMAL TEKWANICredential: MD
Location Address9911 KENNERLY RDSaint Louis, MO 63128-2700
Mailing Address9911 Kennerly RdSaint Louis, MO 63128-2700 · (314) 842-2020 · Fax (314) 842-1407
Phone(314) 842-2020
Fax(314) 842-1407
Sole ProprietorNo
Medical School CMSOtherGraduated 1967
Enumeration DateNovember 30, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1265416697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MO · 33926
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
9911 KENNERLY RD, Saint Louis, MO 63128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hiralal Turshamal Tekwani Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789774985
PECOS Enrollment IDI20100907000482
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
227 services177 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
166 services165 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
115 services111 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
93 services91 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
61 services61 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
44 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability89
Improvement Activities40
Cost90.6

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM ALLEN GRAY D.M.D. MD
Dentist (Oral and Maxillofacial Surgery)
9911 KENNERLY RD, SUITE E
SAINT LOUIS, MO 63128
St. Louis County (314) 842-4699
WILLIAM A. GRAY, D.M.D., LLC
Dentist (Oral and Maxillofacial Surgery)
9911 KENNERLY RD, SUITE E
SAINT LOUIS, MO 63128
St. Louis County (314) 842-4699
TEKWANI VISION CENTER ,INC
Ophthalmology
9911 KENNERLY RD, SUITE A
SAINT LOUIS, MO 63128
St. Louis County (314) 842-2020
NAVIN HIRALAL TEKWANI MD
Ophthalmology
9911 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 842-2020
DR. JEFFREY MICHAEL KRATKY D.M.D.
Dentist (Oral and Maxillofacial Surgery)
9911 KENNERLY RD, STE. E
SAINT LOUIS, MO 63128
St. Louis County (314) 842-4699
MARIUS A EVANS DDS PC
Dentist
9911 KENNERLY RD, SUITE G
ST LOUIS, MO 63128
St. Louis County (314) 849-0999
MRS. MELINDA SUE WALTERS ABO
Technician/Technologist (Optician)
9911 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (341) 842-0420
DR. JESSICA CARSON JONES O.D.
Optometrist
9911 KENNERLY RD, SUITE A
SAINT LOUIS, MO 63128
St. Louis County (314) 842-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hiralal Tekwani's NPI number?

The NPI number for Hiralal Tekwani is 1265416697. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Hiralal Tekwani located?

Hiralal Tekwani practices at 9911 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 842-2020.

What is Hiralal Tekwani's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Hiralal Tekwani enrolled in Medicare?

Yes. Hiralal Tekwani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hiralal Tekwani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 other insurers list Hiralal Tekwani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hiralal Tekwani was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.