Individual provider Active NPI

Patrick Bryan Mazi, MD

  • Infectious Disease Physician
  • Saint Louis, MO
National Provider Identifier
1063875995
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2020027277 Issued in MO
Practice address
620 S Taylor Ave
Div Im Infectious Disease, Ste 100
Saint Louis, MO 63110-1035
Phone
(314) 747-1206
Fax
(314) 454-5392
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 2020027277 MO
Internal Medicine Physician 207R00000X 2020027277 MO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2020027277 MO
Pulmonary Disease Physician 207RP1001X 2020027277 MO
Infectious Disease Physician 207RI0200X 2020027277 MO Primary

Addresses

Primary practice location

620 S Taylor Ave
Div Im Infectious Disease, Ste 100
Saint Louis, MO 63110-1035

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 747-1206

Other identifiers 1

IdentifierTypeStateIssuer
200086316MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20210802002423 MO Practitioner - Infectious DiseasePractitioner - AnesthesiologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9638501505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Anesthesiology, Critical Care (Intensivists), Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

8328 Eager Rd
300 BJC/Wusm Telehealth Center
Brentwood, MO 63144-1412
Phone (314) 362-1777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020027277MOMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Apr 22, 2024 Accepting new patients
Washington University Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Washington University Physicians in Illinois, Inc Past Accepting new patients

Locations

8328 Eager Rd
#300
Brentwood, MO 63144
Phone (314) 362-1777

1 Barnes Hsp Plz
Saint Louis, MO 63110
Phone (314) 273-4966

620 S Taylor Ave
Ste 100
Saint Louis, MO 63110
Phone (314) 362-9098

660 S Euclid Ave
#8051
Saint Louis, MO 63110
Phone (314) 454-8214

660 S Euclid Ave
Saint Louis, MO 63110

660 S Euclid Ave
#8015
Saint Louis, MO 63110
Phone (314) 286-1018

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 1

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1063875995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-747-1206",
            "fax_number": "314-454-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S TAYLOR AVE",
            "address_2": "DIV IM INFECTIOUS DISEASE, STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101035",
            "telephone_number": "314-747-1206",
            "fax_number": "314-454-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZI",
        "first_name": "PATRICK",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2025-04-17",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MO",
            "license": "2020027277",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2020027277",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "2020027277",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2020027277",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2020027277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200086316",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "620 S Taylor Ave",
            "address_2": "Div IM Infectious Disease, Ste 100",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101035",
            "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.