Individual provider Active NPI

Syed A Khalid, M.D.

  • Internal Medicine Physician
  • Saint Charles, MO
National Provider Identifier
1083787253
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2003026613 Issued in MO
Practice address
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone
(636) 647-5000
Fax
(636) 947-5090
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 66487 WI
Internal Medicine Physician 207R00000X 2003026613 MO Primary

Addresses

Primary practice location

300 1St Capitol Dr
Saint Charles, MO 63301-2844

Mailing address

300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 647-5000

Other practice location 1

800 West Ave S
LA Crosse, WI 54601-8806
Phone (608) 785-0940

Other practice location 2

1001 E Primrose St
Springfield, MO 65807-5155
Phone (000) 000-0000

Other identifiers 1

IdentifierTypeStateIssuer
207331703MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL, KY, MS4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200218000589 WV Practitioner - Nephrology 1153425145 Reassigns benefits to 1 organization
I20210310001812 FL Practitioner - Nephrology 1153425145 Reassigns benefits to 1 organization
I20240603000471 KY Practitioner - Nephrology 1153425145 Reassigns benefits to 1 organization
I20250317002384 MS Practitioner - Nephrology 1153425145 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003026613MOMDInternal Medicine Physician
66487WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuview Health Texas PA Nephrology CurrentSince Apr 8, 2024 Accepting new patients
Nuview Telehealth, LLC Internal Medicine CurrentSince Dec 16, 2019 Accepting new patients
SSM Health Care St. Louis Internal Medicine Past Accepting new patients
SSM St. Joseph Hospital West Internal Medicine Past Accepting new patients
Nuview Health Arkansas PLLC Nephrology Past Accepting new patients
Inpatient Consultants of Missouri Inc Internal Medicine Past Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

Interoperability endpoints

  • Direct secure messaging: skhalid219416@ummc.direct-ci.com

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuview Telehealth LLC 97 clinicians
Nuview Health Texas PA 18 clinicians

Practice addresses (Care Compare)

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-4411

145 Newcomb Ave
Mount Vernon, KY 40456-2728
Phone (561) 299-3667

161 River Oaks Dr
Canton, MS 39046-5375
Phone (561) 299-3667

1825 NW Corporate Blvd
Suite 105
Boca Raton, FL 33431-8554
Phone (561) 299-3667

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110

Merit-based Incentive Payment System (MIPS)

Final score
82.25 of 100Reported as group
Quality
64.73
Promoting interoperability
100
Improvement activities
40
Cost
76.1

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1083787253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012844",
            "telephone_number": "636-647-5000",
            "fax_number": "636-947-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012844",
            "telephone_number": "636-647-5000",
            "fax_number": "636-947-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 West Ave S",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546018806",
            "country_code": "US",
            "telephone_number": "608-785-0940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E Primrose St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075155",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALID",
        "first_name": "SYED",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "66487",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2003026613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207331703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.