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

Ayesha Farrukh

Individual provider Internal Medicine Physician · NPI 1164918165

Ayesha Farrukh is an Internal Medicine in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Practices with Physician Specialists of St Lukes LLC, a 75-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2018
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Practice location Address checks out

621 S New Ballas Rd
Saint Louis, MO 63141-8232
Phone: (314) 509-5305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2018014808 (MO)

Record details

NPI number1164918165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2018
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address232 S Woods Mill Rd, Chesterfield, MO 63017-3406

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Physician Specialists Of St Lukes Llc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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