SOSTANIE T. ENORU M.D. – NPI #1740671254
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

SOSTANIE ENORU is a physician located in JEFFERSON CITY, MO. NPPES has assigned the NPI number 1740671254 to SOSTANIE ENORU on February 05, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name SOSTANIE TAKOTA ENORU. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Aug 08, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOSTANIE ENORU below.

NPI Profile for
SOSTANIE T. ENORU

NPI Number
1740671254
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SOSTANIE T. ENORU
Other Name: SOSTANIE TAKOTA ENORU
Credentials
M.D.
Primary location
3501 W TRUMAN BLVD # A
JEFFERSON CITY, MO 65109-0514
Phone: (573) 636-0635 Fax:
2 Other location(s):
450 Clarkson Ave
Brooklyn, NY 11203
Phone: (718) 270-1568
355 Bard Ave
Department of Medicine Villa Bldg 1st Floor
Staten Island, NY 10310-1664
Phone: (718) 818-2419
Mailing address
PO BOX 363
JEFFERSON CITY, MO 65102-0363
Phone: (573) 636-0635 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 08, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 MO 2022031212
390200000X
- Student in an Organized Health Care Education/Training Program		 NY 292675
208M00000X
- Hospitalist		 NY 292675
207RI0011X
- Internal Medicine / Interventional Cardiology		 MO 2022031212
207R00000X
- Internal Medicine		 NY 292675

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SOSTANIE ENORU is affiliated with the following medical group(s):
  • HOSPITAL
    • CAPITAL REGION MEDICAL CENTER
      1125 MADISON ST
      JEFFERSON CITY, MO 65102
    • SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY
      2505 MISSION DRIVE
      JEFFERSON CITY, MO 65109

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.