GIHAN A KADER MD
NPI 1548258684
Psychiatry & Neurology - Neurology in Lake St Louis, MO
NPI Status: Active since October 12, 2005
Contact Information
200 MEDICAL PLZ
SUITE 103
LAKE ST LOUIS, MO
ZIP 63367
Phone: (636) 625-0206
Fax: (636) 625-4777
- Individual
- Female
- Psychiatry & Neurology
- Neurology
- Accepts Insurance
- PECOS Enrolled
About GIHAN KADER
This page provides the complete NPI Profile along with additional information for Gihan Kader, a provider established in Lake St Louis, Missouri with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1548258684 assigned on October 2005. The practitioner's primary taxonomy code is 2084N0400X with license number 01078500A (IN). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1548258684
- Provider Name
- GIHAN A KADER MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 MEDICAL PLZ SUITE 103 LAKE ST LOUIS, MO 63367
- Location Phone
- (636) 625-0206
- Location Fax
- (636) 625-4777
- Mailing Address
- 7538 BUCKINGHAM DR SAINT LOUIS, MO 63105
- Mailing Phone
- (314) 725-0192
- Mailing Fax
- (636) 625-4777
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-12-2005
- Last Update Date
- 02-22-2023
- Code Navigator
Location Map
Secondary Locations
- 11109 Parkview Plaza Dr
Fort Wayne, IN 46845
(260) 425-6780
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01078500A
- License State
- IN
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084B0040X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 01078500 (IN) |
| 2 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 109431 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 005232 | OTHER (01) | MO | EXCLUSIVE CHOICE |
| 101074 | OTHER (01) | MO | BLUE CROSS BLUE SHIELD |
| 123648 | OTHER (01) | MO | GHP |
| B89022 | OTHER (01) | MO | MERCY HEALTH PLANS |
| 1612658 | OTHER (01) | MO | FIRST HEALTH |
| 605209400 | OTHER (01) | MO | US DEPT. OF LABOR |
| 810568396 | OTHER (01) | MO | TRICARE |
| 0500123 | OTHER (01) | MO | UNITED HEALTHCARE |
| 2731687009 | OTHER (01) | MO | CIGNA |
| 284557 | OTHER (01) | MO | HEALTHLINK |
| 4070602 | OTHER (01) | MO | AETNA |
Medicare Participation & PECOS Enrollment Status
Gihan Kader is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)
2 DME suppliers used 11 Medicare Claims 61 Services Paid
DME-Other DME (DE001N)
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 63367 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $128.28
- Minimum New Patient Price $55.65
- Maximum New Patient Price $169.38
- Average New Patient Copayment $32.07
- Minimum New Patient Copayment $13.91
- Maximum New Patient Copayment $42.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.37
- Minimum Established Patient Price $17.76
- Maximum Established Patient Price $137.92
- Average Established Patient Copayment $24.59
- Minimum Established Patient Copayment $4.44
- Maximum Established Patient Copayment $34.48
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 4 | 8 | 2 | 5 | 8 | 6 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 4 | 5 | 16 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 4 + 5 + 1 + 6 + 6 + 1 + 6 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1548258684 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326363748 | GIHAN KADER LLC Organization | Psychiatry & Neurology (Neurology) | 200 MEDICAL PLZ SUITE 103 LAKE ST LOUIS, MO 63367 (636) 625-0206 |
| 1861474785 | RONALD WEPPRICH M.D. Individual | Internal Medicine | 200 MEDICAL PLZ SUITE 101 LAKE SAINT LOUIS, MO 63367 (636) 561-4100 |
| 1871792796 | THIEN-AN HOANG M.D Individual | Family Medicine | 200 MEDICAL PLZ STE 101 LAKE ST LOUIS, MO 63367 (636) 561-4100 |
| 1942641212 | MRS. TONYA RENEE' WARREN ANP-BC Individual | Nurse Practitioner (Adult Health) | 200 MEDICAL PLZ SUITE 101 LAKE SAINT LOUIS, MO 63367 (636) 561-4100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548258684, enumerated in the NPI registry as an "individual" on October 12, 2005
The provider is located at 200 Medical Plz Suite 103 Lake St Louis, Mo 63367 and the phone number is (636) 625-0206
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $128.28 with an average copayment of $32.07 for new patient appointments. Established patients should expect a typical charge of $98.37 and an average copayment of 24.59. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 12, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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