Individual provider Active NPI

Noor Alnazal, DO

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1083277313
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2024008096 Issued in MO
Practice address
510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016
Phone
(314) 362-7200
Fax
(314) 747-4189
NPI assigned
Apr 22, 2019
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2024008096 MO Primary

Addresses

Primary practice location

510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-7200

Other identifiers 1

IdentifierTypeStateIssuer
200139376MedicaidMO

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, TX, OK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240710002732 MO Practitioner - Diagnostic Radiology 5597200931 Reassigns benefits to 2 organizations
I20250804003201 TX Practitioner - Diagnostic Radiology 5597200931 Reassigns benefits to 11 organizations
I20251126002684 OK Practitioner - Diagnostic Radiology 5597200931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Liberty Univ College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Clinton Indian Health CenterGroup PAC ID 2163324237, 74 clinicians
Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians
Lawton Indian HospitalGroup PAC ID 6406800234, 126 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
El Reno Indian Health CenterGroup PAC ID 5193627263, 52 clinicians

Practice addresses (Care Compare)

1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

1001 S 41St St E
Three Rivers Health Center
Muskogee, OK 74403-6253
Phone (918) 687-0201

10321 N
Suite 2274
Clinton, OK 73601-7521

10321 N 2274 Rd
Clinton, OK 73601-7521
Phone (580) 331-3410

14321 Macquarie Dr
Pflugerville, TX 78660-1777
Phone (918) 935-3550

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000

1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424

1801 Parkview Dr
El Reno, OK 73036-2103
Phone (405) 234-5600

27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800

301 S J T Stites St
Sallisaw, OK 74955-9302
Phone (918) 775-9150

59 Firefal CT
Spring, TX 77380-2646
Phone (918) 935-3550

East Hwy 18
Pine Ridge, SD 57770-1201
Phone (605) 867-3032

P O Box
Suite 1201
Pine Ridge, SD 57770-1201

P O Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201

PO Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024008096MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miracl, LLC CurrentSince Jul 1, 2024 Accepting new patients
Clinton Indian Health Center CurrentSince Sep 17, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 3, 2025 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
El Reno Indian Health Center CurrentSince Sep 17, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 4, 2025 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 4, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 3, 2025 Accepting new patients
Watonga Indian Health Center CurrentSince Sep 17, 2025 Accepting new patients
Pawnee Indian Health Center CurrentSince Sep 17, 2025 Accepting new patients
Wewoka Indian Health CurrentSince Sep 17, 2025 Accepting new patients
Lawton Indian Hospital CurrentSince Oct 10, 2025 Accepting new patients
Anadarko Indian Health Center CurrentSince Oct 10, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 3, 2025 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients
Comanche County Hospital Authority Southwest Radiology Diagnostic Radiology PastSince Nov 15, 2022 Accepting new patients

Locations

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8440

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

4500 S Garnett Rd
Ste 112
Tulsa, OK 74146
Phone (972) 665-8498

Dept 1467
Tulsa, OK 74182

1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991

36640 Highway 270
Wewoka, OK 74884
Phone (405) 257-6282

36640 Highway 270
#C
Wewoka, OK 74884
Phone (405) 257-6282

Organizations & group practices 22

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 22

Hospital & facility affiliations 11

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1083277313",
    "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": "314-362-7200",
            "fax_number": "314-747-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S KINGSHIGHWAY BLVD",
            "address_2": "DEPT RADIOLOGY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101016",
            "telephone_number": "314-362-7200",
            "fax_number": "314-747-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALNAZAL",
        "first_name": "NOOR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2024008096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200139376",
            "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": "510 S Kingshighway Blvd",
            "address_2": "Dept Radiology",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101016",
            "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.