DR. SELASI MABONGA NAKHAIMA (MD) – Student in an Organized Health Care Education/Training Program, NPI 1396249009

DR. SELASI MABONGA NAKHAIMA (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 2019045772 (MO). The NPI Number for DR. SELASI MABONGA NAKHAIMA (MD) is 1396249009

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. SELASI MABONGA NAKHAIMA (MD)
NPI
1396249009
Phone
(314) 362-7200
Address
510 S Kingshighway Blvd
Enumeration Date
19 March 2018
Last Update Date
16 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
6367282221
Graduation Year
2018 (8 years ago)
PAC ID
8921357609
Group Practice PAC ID
6800890245
Professional Enrollment ID
I20230710000162
Address ID
MO631323446SA9520XRDXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

1,218 DIAGNOSTIC RADIOLOGY in MO

Provider Addresses for DR. SELASI MABONGA NAKHAIMA (MD)

  • 510 S Kingshighway Blvd

    Dept Radiology

    Saint Louis, MO 631101016

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Location

  • 1 BARNES JEWISH HOSPITAL PLZ

    SAINT LOUIS, MO 63110

    Phone: (314) 362-5000

    Type: Location

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    SAINT LOUIS, MO 631101010

    Phone:

    Type: Mailing

  • 11475 OLDE CABIN RD STE 200

    SAINT LOUIS, MO 631417129

    Phone: (314) 991-8200

    Fax: (314) 569-1787

    Type: Mailing

  • 10010 KENNERLY RD

    SAINT LOUIS, MO 631282106

    Phone: (314) 525-1165

    Type: Location

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: 2025-07-11

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20230710000162IDiagnostic RadiologyMOTBD
I20250408001946IDiagnostic RadiologyTNTBD
I20250711003036IDiagnostic RadiologyCATBD

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
71045X-ray of chest, 1 view198174$0
71046X-ray of chest, 2 views133129$0
74177Ct scan of abdomen and pelvis with contrast120119$0
71260Ct scan of chest with contrast6464$0
74018X-ray of abdomen, 1 view5651$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 6800890245View full group profile
NameSpecialtyState
Diagnostic RadiologyMO
Diagnostic RadiologyGA
-GA
Diagnostic RadiologyMO
Diagnostic RadiologyGA
Physician AssistantTX
-GA
Diagnostic RadiologyMD
Diagnostic RadiologyGA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SELASI MABONGA NAKHAIMA (MD)'s NPI?
Yes. DR. SELASI MABONGA NAKHAIMA (MD) is listed with NPI 1396249009 in the public NPI dataset.
Does CMS list DR. SELASI MABONGA NAKHAIMA (MD) as active?
Yes — DR. SELASI MABONGA NAKHAIMA (MD) is active in the NPI listing used on this page.
What is DR. SELASI MABONGA NAKHAIMA (MD)'s specialty?
The listing groups DR. SELASI MABONGA NAKHAIMA (MD) with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What area does DR. SELASI MABONGA NAKHAIMA (MD) serve?
DR. SELASI MABONGA NAKHAIMA (MD)'s listing highlights Saint Louis, Missouri; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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