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DR. MINI TANDON DO
NPI 1972654358
Psychiatry & Neurology - Child & Adolescent Psychiatry in Saint Louis, MO

Active since January 14, 2007PECOS Enrolled
79.29/100
CMS Quality Rating
4444 FOREST PARK AVE, STE 2600, SAINT LOUIS, MO 63108(314) 286-1700(314) 286-1777 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Aug 23, 2023 and 5 more (8 updates tracked since 2015).

About Dr. Mini Tandon Do NPPES

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

DR. MINI TANDON DO (NPI 1972654358) is an individual child & adolescent psychiatry provider in Saint Louis, Missouri, licensed in Missouri (2004007962) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972654358
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MINI TANDONCredential: DO
Location Address4444 FOREST PARK AVE, STE 2600Saint Louis, MO 63108-2212
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 286-1700 · Fax (314) 286-1777
Phone(314) 286-1700
Fax(314) 286-1777
Sole ProprietorNo
Enumeration DateJanuary 14, 2007
Last NPPES UpdateApril 17, 20258 updates tracked since enumeration
✔ NPI 1972654358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MO · 2004007962
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
4444 FOREST PARK AVE, Saint Louis, MO 63108
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Other Identifiers 1

Medicaid209412501MO

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. Mini Tandon Do 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.

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 20

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

DR. PATRICIA TEREESE JIMENEZ MD
Obstetrics & Gynecology (Reproductive Endocrinology)
4444 FOREST PARK AVE, DIV OB REPRODUCTIVE ENDOCRINOLOGY, STE 3100
SAINT LOUIS, MO 63108
St. Louis City (314) 286-2400
DR. DANIELLE BUCHANAN IVIE DPT
Physical Therapist
4444 FOREST PARK AVE, STE 1210
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1940
MS. MARY GRACE PORTELL LPC
Counselor (Professional)
4444 FOREST PARK AVE, STE 2600
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1700
MRS. PATRICIA K NELLIS OT
Occupational Therapist
4444 FOREST PARK AVE, DEPT OCCUPATIONAL THERAPY, STE 2210
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1669
DR. KELLY N BOTTERON MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4444 FOREST PARK AVE, STE 2600
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1700
DR. ROBERT P FUCETOLA PHD
Clinical Neuropsychologist
4444 FOREST PARK AVE, DIV NEUROPSYCHOLOGY, 2ND FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-1408
MS. CHERYL L KLOHR MS OT
Occupational Therapist
4444 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5079
MS. BRIDGET O OCHUKO DPT
Physical Therapist
4444 FOREST PARK AVE, STE 1210
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1940

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 Mini Tandon's NPI number?

The NPI number for Mini Tandon is 1972654358. It was assigned to this individual provider in the NPPES registry on January 14, 2007.

Where is Mini Tandon located?

Mini Tandon practices at 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108. The listed phone number is (314) 286-1700.

What is Mini Tandon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mini Tandon enrolled in Medicare?

Yes. Mini Tandon is registered in the Medicare PECOS enrollment system.

What insurance does Mini Tandon accept?

Health plans from Medica list Mini Tandon 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 Mini Tandon was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.