Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Enrique Pastrana, M.D.
Surgery Physician in Fenton, MO · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1417940412
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Registry record
Entity type Individual (Type 1)
Name Mr. Enrique Pastrana
Credential M.D.
Sex Male
Practice address 1011 Bowles Ave., Suite 300, Fenton, MO, 63026
Phone (636) 496-5030
Fax (636) 496-5035
Enumeration date Aug 24, 2005
Last updated in NPPES Jun 8, 2012
Taxonomy & licenses
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208176503 | Medicaid | MO | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Enrique Pastrana's NPI record?
Cross-check NPI 1417940412 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1417940412 active?
Yes, as of the latest NPPES snapshot, NPI 1417940412 is active (record last updated 2012-06-08).
Other providers at this practice address
Browse all → Carrie Hruza Optometrist · Fenton, MO NPI 1700870284 Peter J Anderson, MD PC Orthopaedic Surgery Physician · Fenton, MO NPI 1568433639 Clayton R Perry, MD PC Orthopaedic Surgery Physician · Fenton, MO NPI 1891766754 Clayton Perry Orthopaedic Surgery Physician · Fenton, MO NPI 1518938463 Mark Grimm Otolaryngology Physician · Fenton, MO NPI 1942271689 Kurt Merkel Orthopaedic Surgery Physician · Fenton, MO NPI 1225006265 Brent Davidson Ophthalmology Physician · Fenton, MO NPI 1437127065 Sri Kolli Internal Medicine Physician · Fenton, MO NPI 1558308361
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-08.