Individual provider Active NPI

Mohammed Eyad Yaseen Alsabbagh, M.D.

  • Gastroenterology Physician
  • Saint Louis, MO
National Provider Identifier
1083917090
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2017006373 Issued in MO
Practice address
10012 Kennerly Rd Ste 102
Saint Louis, MO 63128-2197
Phone
(314) 543-5911
Fax
(314) 543-5914
NPI assigned
Dec 13, 2010
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2017006373 MO Primary
Hepatology Physician 207RI0008X 2017006373 MO

Addresses

Primary practice location

10012 Kennerly Rd Ste 102
Saint Louis, MO 63128-2197

Mailing address

10012 Kennerly Rd Ste 102
Saint Louis, MO 63128-2197
Phone (314) 543-5911

Other names 1

  • M.Eyad Yaseen Alsabbagh Professional name

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
I20170425002034 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 9739312570 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Gastroenterology LLCGroup PAC ID 8628121795, 66 clinicians
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

10012 Kennerly Rd
Suite 102
Saint Louis, MO 63128-2197
Phone (314) 543-5911

24 S Mount Auburn Rd
Cape Gastroenterology Specialist
Cape Girardeau, MO 63703-5049
Phone (573) 331-3350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy73
Upper gastrointestinal (GI) endoscopy for acid reflux92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current Accepting new patients
Mercy Clinic Gastroenterology, LLC Gastroenterology CurrentSince Aug 7, 2023 Accepting new patients
Saint Francis Medical Center CurrentSince Aug 5, 2022 Accepting new patients
SLH Physicians LLC CurrentSince May 13, 2017 Accepting new patients
Saint Francis Medical Center CurrentSince Aug 5, 2022 Accepting new patients

Locations

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

24 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 331-5544

200 Brevco Plz
Ste 208
Lake St Louis, MO 63367
Phone (314) 251-3880

10012 Kennerly Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 525-4225

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-1320

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

1540 E Evergreen St
Springfield, MO 65803
Phone (417) 823-2900

Interoperability endpoints

  • Direct secure messaging: malsabbagh101262@surescripts.sfmc.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1083917090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD STE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-543-5911",
            "fax_number": "314-543-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD STE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-543-5911",
            "fax_number": "314-543-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSABBAGH",
        "first_name": "MOHAMMED EYAD",
        "middle_name": "YASEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-13",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2017006373",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "MO",
            "license": "2017006373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.EYAD",
            "last_name": "YASEEN ALSABBAGH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.