{"npi":"1548366263","type":"NPI-1","status":"active","name":{"display":"Dr. Narsimha Muddasani M.D.","other":[],"first":"NARSIMHA","last":"MUDDASANI","middle":"R","credential":"M.D."},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0804X","description":"Child & Adolescent Psychiatry","primary":false,"state":"MO","license":"105499"},{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":"IL","license":"036089128"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 N 8TH ST","city":"EAST SAINT LOUIS","state":"IL","postal_code":"622012989","country_code":"US","phone":"6182710130","fax":"6182716325"},{"purpose":"MAILING","street_1":"2120 MADISON AVE","city":"GRANITE CITY","state":"IL","postal_code":"620404744","country_code":"US","street_2":"SUITE 406","phone":"6188771008","fax":"6188771512"}],"license":{"state":"IL","number":"036089128"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"207790411","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050928000176","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"IL","pac_id":"2860465697"},{"enrlmt_id":"I20110208000626","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"MO","pac_id":"2860465697"}]},"enumeration_date":"2006-09-16","last_updated":"2021-05-17","_meta":{"source":"NPPES","snapshot_date":"2021-05-17","doc_url":"https://findmynpi.com/api"}}