TARISAI SHARON NYAHODA (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1053971846

TARISAI SHARON NYAHODA (MD) is a healthcare provider. based in Chesterfield, Missouri. specializing in GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 2023033166 (MO). The NPI Number for TARISAI SHARON NYAHODA (MD) is 1053971846

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
TARISAI SHARON NYAHODA (MD)
NPI
1053971846
Phone
(314) 205-6050
Address
222 S WOODS MILL RD
Enumeration Date
14 June 2019
Last Update Date
19 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
2961884648
Group Practice PAC ID
1153232038
Professional Enrollment ID
I20230915002701
Address ID
MO631303001SA7212XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

107 GERIATRIC MEDICINE in MO

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Provider Addresses for TARISAI SHARON NYAHODA (MD)

  • 222, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States

    CHESTERFIELD, MO 630173625

    Phone: (314) 205-6050

    Fax: (314) 434-5939

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230915002701IGeriatric MedicineMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes4038$0
View full utilization report →

Insurance plans in this area (ZIP 63017)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153232038View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family PracticeNE
Internal MedicineMO
N E U R O L O G YMO
Internal Medicine, Sleep MedicineMO
Internal Medicine, HospitalistMO
Internal Medicine, Allergy/ImmunologyMO
Internal MedicineMO
Internal MedicineMO
Internal MedicineMO

Reviews

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Frequently asked questions

What is the registry number for TARISAI SHARON NYAHODA (MD)?
The registry entry for TARISAI SHARON NYAHODA (MD) shows NPI 1053971846.
Should I treat TARISAI SHARON NYAHODA (MD) as an active provider?
Patients and plans typically see TARISAI SHARON NYAHODA (MD) as active in the national extract.
What services align with TARISAI SHARON NYAHODA (MD)'s listing?
TARISAI SHARON NYAHODA (MD)'s public classification highlights Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TARISAI SHARON NYAHODA (MD)?
TARISAI SHARON NYAHODA (MD) is associated with Chesterfield, Missouri in the same public data insurers reference.
Why is information missing for TARISAI SHARON NYAHODA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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