NISHANT PODDAR MD – NPI #1124387675
Internal Medicine

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Health Care Provider Taxonomy Code for Internal Medicine

NISHANT PODDAR is a physician located in BALLWIN, MO. NPPES has assigned the NPI number 1124387675 to NISHANT PODDAR on May 03, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology

The NPI profile was last updated on May 09, 2025. 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 NISHANT PODDAR below.

NPI Profile for
NISHANT PODDAR

NPI Number
1124387675
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NISHANT PODDAR
Credentials
MD
Primary location
15945 CLAYTON RD STE 120
BALLWIN, MO 63011-2490
Phone: (636) 256-5000 Fax:
1 Other location(s):
1400 Pin Oak Dr
Carterville, IL 62918-1600
Phone: (618) 985-3333
Fax: (618) 985-1318
Mailing address
13125 BELLERIVE FARM DR
CREVE COEUR, MO 63141-6099
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
May 09, 2025

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.

Identifiers

Identifiers for NISHANT PODDAR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMO200001507
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
207RX0202X
- Internal Medicine / Medical Oncology (Primary)		 MO 2012034335
207RH0003X
- Internal Medicine / Hematology & Oncology		 IL 036147565

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
1418 CROSS ST,
SHILOH, IL 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
NISHANT PODDAR is affiliated with the following medical group(s):
  • HOSPITAL
    • CROSSROADS COMMUNITY HOSPITAL
      8 DOCTORS PARK RD
      MOUNT VERNON, IL 62864
    • MEMORIAL HOSPITAL
      4500 MEMORIAL DRIVE
      BELLEVILLE, IL 62226
    • SSM HEALTH - GOOD SAMARITAN HOSPITAL
      1 GOOD SAMARITAN WAY
      MOUNT VERNON, IL 62864
    • SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL
      3635 VISTA AVE
      SAINT LOUIS, MO 63110
    • SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA
      400 NORTH PLEASANT AVENUE
      CENTRALIA, IL 62801
  • HOSPICE
    • SSM HEALTH AT HOME HOSPICE-ILLINOIS
      #2 GOOD SAMARITAN WAY, SUITE 325
      MOUNT VERNON, IL 62864

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.