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MR. NIBESH PATHAK M.D
NPI 1669275095
Student in an Organized Health Care Education/Training Program in St Louis, MO

Active since March 31, 2025PECOS Enrolled
3005 N BALLAS RD, ST LOUIS, MO 63131(314) 996-4087 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Mar 31, 2025 (2 updates tracked since 2025).

About Mr. Nibesh Pathak M.d NPPES

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

MR. NIBESH PATHAK M.D (NPI 1669275095) is an individual student in an organized health care education/training program in St Louis, Missouri and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669275095
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. NIBESH PATHAKCredential: M.D
Location Address3005 N BALLAS RDSt Louis, MO 63131
Mailing Address3005 N Ballas RdSt Louis, MO 63131 · (314) 996-4087
Phone(314) 996-4087
Sole ProprietorNo
Enumeration DateMarch 31, 2025
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
✔ NPI 1669275095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
3005 N BALLAS RD, St Louis, MO 63131
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nibesh Pathak 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 10

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

LIAM NEAL LOCKE
Student in an Organized Health Care Education/Training Program
3005 N BALLAS RD, SUITE 425
ST. LOUIS, MO 63131
St. Louis County (314) 996-4087
AMANDA MARIE FERRANTE
Student in an Organized Health Care Education/Training Program
3005 N BALLAS RD, SUITE 425
ST LOUIS, MO 63131
St. Louis County (314) 996-4087
MISS SARAH AHMAD M.D.
Student in an Organized Health Care Education/Training Program
3005 N BALLAS RD, SUITE 425
ST. LOUIS, MO 63131
St. Louis County (314) 996-4087
TEMUR USMONOV M.D.
Student in an Organized Health Care Education/Training Program
3005 N BALLAS RD, SUITE 400
ST. LOUIS, MO 63131
St. Louis County (314) 996-7520
SAURAB FARUQUE
Student in an Organized Health Care Education/Training Program
3005 N BALLAS RD, SUITE 425
ST. LOUIS, MO 63131
St. Louis County (314) 996-4087
RICHA NIRAULA M.D.
Student in an Organized Health Care Education/Training Program
3005 N BALLAS RD, SUITE 425
ST LOUIS, MO 63131
St. Louis County (314) 996-4087
ABIGAIL MILLER
Student in an Organized Health Care Education/Training Program
3005 N BALLAS RD, SUITE 425
ST LOUIS, MO 63131
St. Louis County (314) 996-4087
AFEEZ OLADIPUPO OGIDAN MBCHB
Student in an Organized Health Care Education/Training Program
3005 N BALLAS RD, SUITE 400
ST LOUIS, MO 63131
St. Louis County (314) 996-7520

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 Nibesh Pathak's NPI number?

The NPI number for Nibesh Pathak is 1669275095. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Nibesh Pathak located?

Nibesh Pathak practices at 3005 N Ballas Rd, St Louis, MO 63131. The listed phone number is (314) 996-4087.

What is Nibesh Pathak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nibesh Pathak enrolled in Medicare?

Yes. Nibesh Pathak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nibesh Pathak was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.