Individual provider Active NPI

Tariq Halasa, MD

  • Hospitalist Physician
  • Saint Louis, MO
National Provider Identifier
1043754039
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2021026797 Issued in MO
Practice address
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone
(314) 996-5772
NPI assigned
Dec 9, 2016
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2021026797 MO Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 2021026797 MO
Hospitalist Physician 208M00000X 25MA12122800 NJ

Addresses

Primary practice location

3015 N Ballas Rd
Saint Louis, MO 63131-2329

Mailing address

232 S Woods Mill Rd
Chesterfield, MO 63017-3485
Phone (314) 434-1500

Other practice location 1

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 629-3342

Other names 1

  • Tariq K Halasa Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL, NJ, LA, VT, WY, IL7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20210812000854 MO Practitioner - Internal Medicine 8729482757 Reassigns benefits to 8 organizations
I20231122000254 FL Practitioner - Hospitalist 8729482757 Reassigns benefits to 1 organization
I20240307002912 NJ Practitioner - Internal MedicinePractitioner - Hospitalist 8729482757 Reassigns benefits to 2 organizations
I20250312003526 LA Practitioner - Internal Medicine 8729482757
I20250501000606 VT Practitioner - Hospitalist 8729482757 Reassigns benefits to 2 organizations
I20250619002289 WY Practitioner - Internal Medicine 8729482757 Reassigns benefits to 1 organization
I20260622001268 IL Practitioner - Hospitalist 8729482757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians
Physician Specialists of St Lukes LLCGroup PAC ID 1557366960, 77 clinicians
Mercy Clinic Adult Hospitalists - St. Louis, LLCGroup PAC ID 6002809944, 139 clinicians

Practice addresses (Care Compare)

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1328

1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195

232 S Woods Mill Rd
Chesterfield, MO 63017-3406
Phone (314) 434-1500

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5772

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6339

PO Box
Suite 1257
Hannibal, MO 63401-1257
Phone (573) 248-5460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021026797MOMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince May 3, 2023 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Mercy Clinic Adult Hospitalists- Jefferson, LLC CurrentSince Jul 8, 2021 Accepting new patients
Cooper Physician Offices, PA Hospitalist CurrentSince Mar 4, 2024 Accepting new patients
Apogee Medical Group Wyoming PC CurrentSince May 2, 2025 Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Jun 1, 2025 Accepting new patients
Community Health Care, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Galen Inpatient Physicians PC Hospitalist Current Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 20, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 20, 2023 Accepting new patients
Physician Specialists of St Lukes LLC CurrentSince Jul 1, 2025 Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Jan 1, 2026 Accepting new patients
Physician Groups LC Adolescent Medicine CurrentSince May 2, 2025 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
St Anthonys Physician Organization Hospitalist Services, L.C. Hospitalist CurrentSince Jul 8, 2021 Accepting new patients
Physician Groups LC CurrentSince May 2, 2025 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Calcasieu Cameron Hospital Medicine Group LLC Hospitalist CurrentSince Feb 7, 2025 Accepting new patients
Community Health Care, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Jun 1, 2025 Accepting new patients
Northeastern Vermont Regional Hospital Inc Current Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Jul 8, 2021 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 8, 2021 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 8, 2021 Accepting new patients
Mercy Clinic Adult Hospitalists - Washington, LLC Hospitalist CurrentSince Jul 8, 2021 Accepting new patients
Mercy Hospital South Past Accepting new patients
Hannibal Regional Healthcare System, Inc Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

621 S New Ballas Rd
Ste 112A
Saint Louis, MO 63141
Phone (314) 251-6339

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

30 N Pearl St
Bridgeton, NJ 08302

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

190 Arrowhead Dr
Evanston, WY 82930
Phone (307) 789-3636

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: tariq.halasa.1@18107.direct.athenahealth.com
  • Direct secure messaging: thalasa180289@direct.cooperhealth.edu

Organizations & group practices 28

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

View all 28

Hospital & facility affiliations 6

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": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1043754039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173485",
            "telephone_number": "314-434-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 N BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312329",
            "telephone_number": "314-996-5772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-629-3342",
            "fax_number": "573-629-3432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALASA",
        "first_name": "TARIQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-09",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2021026797",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "MO",
            "license": "2021026797",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA12122800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3015 N Ballas Rd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631312329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TARIQ",
            "last_name": "HALASA",
            "middle_name": "K",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.