Individual provider Active NPI

Wassim Mourad, MD, MHCM

  • Orthopaedic Hand Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1003462771
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
2022040004 Issued in MO
Practice address
1008 S Spring Ave RM 1114
Saint Louis, MO 63110-2520
Phone
(314) 977-4102
NPI assigned
Aug 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4351044074 MI
Orthopaedic Hand Surgery Physician 207XS0106X 2022040004 MO Primary

Addresses

Primary practice location

1008 S Spring Ave RM 1114
Saint Louis, MO 63110-2520

Mailing address

1008 S Spring Ave RM 1114
Saint Louis, MO 63110-2520
Phone (314) 977-4102

Other practice location 1

225 Abraham Flexner Way Ste 850
Louisville, KY 40202-3840
Phone (502) 562-0312

Other practice location 2

3535 W. 13 Mile Rd.
Medical Office Building, Suite 744
royal oak, MI 48073-4807
Phone (248) 551-1852

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221022000222 MO Practitioner - Hand Surgery 5496121063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

1225 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 257-3390

Hospital & facility affiliations

  • SSM Health Saint Louis University Hospital Hospital, Saint Louis, MO, CCN 260105
  • SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)19
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4351044074MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group Orthopaedic Surgery CurrentSince Oct 5, 2022 Accepting new patients
SSM Health Care Group CurrentSince Oct 5, 2022 Accepting new patients
Ozarks Medical Center Past Accepting new patients
SSM Medical Group Inc. Orthopaedic Surgery Past Accepting new patients
Beaumont Medical Group Hospital -Based Services PastSince Aug 1, 2019 Accepting new patients

Locations

1031 Bellevue Ave
Ste 280A
Saint Louis, MO 63117
Phone (314) 617-2110

1225 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-3390

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1225 S Grand Blvd
#1L
Saint Louis, MO 63104
Phone (314) 257-3390

Interoperability endpoints

  • Direct secure messaging: wmourad435676@direct-ehr-ssmhc.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1003462771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 S SPRING AVE RM 1114",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102520",
            "telephone_number": "314-977-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 S SPRING AVE RM 1114",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102520",
            "telephone_number": "314-977-4102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Abraham Flexner Way Ste 850",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023840",
            "country_code": "US",
            "telephone_number": "502-562-0312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 W. 13 Mile Rd.",
            "address_2": "Medical Office Building, Suite 744",
            "address_purpose": "LOCATION",
            "city": "royal oak",
            "state": "MI",
            "postal_code": "480734807",
            "country_code": "US",
            "telephone_number": "248-551-1852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURAD",
        "first_name": "WASSIM",
        "name_prefix": "Dr.",
        "credential": "MD, MHCM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-17",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4351044074",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MO",
            "license": "2022040004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "healthcare software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "225 Abraham Flexner Way Ste 850",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402023840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.