DR. AMJAD TAHA M.D.
NPI 1295048411
Pediatrics - Neonatal-Perinatal Medicine in Saint Louis, MO

Q: What is Amjad Taha's NPI number?

The NPI number for Amjad Taha is 1295048411. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Q: What is Amjad Taha's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Amjad Taha was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since July 16, 2010PECOS Enrolled

615 S BALLAS RD, SAINT LOUIS, MO 63122(602) 346-7054 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2022, Oct 1, 2022 (2 updates tracked since 2022).

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About Dr. Amjad Taha M.d. NPPES

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

DR. AMJAD TAHA M.D. (NPI 1295048411) is an individual neonatal-perinatal medicine provider in Saint Louis, Missouri, licensed in Missouri (2013022106) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295048411

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. AMJAD TAHACredential: M.D.

Location Address615 S BALLAS RDSaint Louis, MO 63122-5314

Mailing Address1701 Lacey StCape Girardeau, MO 63701-5230 · (573) 331-6665

Phone(602) 346-7054

Sole ProprietorNo

Enumeration DateJuly 16, 2010

Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration

NPPES CertifiedOctober 6, 2022

✔ NPI 1295048411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MO · 2013022106

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

615 S BALLAS RD, Saint Louis, MO 63122

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amjad Taha M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

MS. TAMMY CAROL LENTZ RNC, MSN, NNP-BC

Nurse Practitioner (Neonatal)