Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ali Etemady-Deylamy

Individual provider Family Medicine Physician · NPI 1760864888

Ali Etemady-Deylamy is an Internal Medicine in Saint Louis, Missouri. Qualified in 2015, 11 years ago. Practices with St Anthonys Physician Organization Hospitalist Services Lc, a 139-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Missouri.

Years since qualifying
11
Licensed in
MI, MO
In the registry since
2015
Specialties on file
4
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Practice location Address checks out

10010 Kennerly Rd
Saint Louis, MO 63128
Phone: (314) 525-1328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1900 Columbus Ave, Bay City, MI 48708-6831 — (989) 894-3950

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 2017016664 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5101021789 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2016015544 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2017016664 (MO)

Record details

NPI number1760864888
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2015
Last updated in NPPESAugust 17, 2023
Certification dateJuly 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Anthonys Physician Organization Hospitalist Services Lc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Louis