Individual provider Active NPI

Mujtaba A Qazi, M.D.

  • Ophthalmology Physician
  • Chesterfield, MO
National Provider Identifier
1124010434
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2001010876 Issued in MO
Practice address
1815 Clarkson Rd
Chesterfield, MO 63017-5065
Phone
(636) 728-0111
Fax
(636) 728-0093
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2001010876 MO Primary

Addresses

Primary practice location

1815 Clarkson Rd
Chesterfield, MO 63017-5065

Mailing address

1815 Clarkson Road
Chesterfeild, MO 63017
Phone (636) 728-0111

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
I20100924000483 MO Practitioner - Ophthalmology 6608992870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pepose Vision Institute PCGroup PAC ID 8628032729, 5 clinicians

Practice addresses (Care Compare)

1815 Clarkson Rd
Chesterfield, MO 63017-5065
Phone (636) 728-0111

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery371
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1124010434MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pepose Vision Institute, PC Ophthalmology CurrentSince Jul 1, 2002 Accepting new patients
Pepose Vision Institute, PC CurrentSince Jul 1, 2002 Accepting new patients

Locations

7530 Solutions Ctr
Chicago, IL 60677

1815 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 728-0111

1815 Clarkson Rd
Fl 2
Chesterfield, MO 63017

13134 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 843-7390

Interoperability endpoints

  • Direct secure messaging: mqazi@peposevision.direct.eyemdemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1124010434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CLARKSON ROAD",
            "city": "CHESTERFEILD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "636-728-0111",
            "fax_number": "636-728-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175065",
            "telephone_number": "636-728-0111",
            "fax_number": "636-728-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAZI",
        "first_name": "MUJTABA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2001010876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.