Active NPI
Syed A Khalid, M.D.
- Internal Medicine Physician
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2003026613
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207331703 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, FL, KY, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2003026613 | MO | MD | Internal Medicine Physician |
| 66487 | WI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuview Health Texas PA | Nephrology | Current | Accepting new patients |
| Nuview Telehealth, LLC | Internal Medicine | Current | 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
- 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Boca Raton, FL
- NPI 1922538461
KY, Nephrology
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1194779579
Internal Medicine
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Internal Medicine
-
- Internal Medicine Physician
- Warrenton, MO
- NPI 1255385456
Internal Medicine
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 LLCNuview Health Texas PA
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
- Mercy Hospital Southeast
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.25 of 100
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.