NPIMap

Individual provider Active NPI

Syed M Arshad, MD

  • Hematology & Oncology Physician
  • Maryville, IL
National Provider Identifier
1154396182
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036140637 Issued in IL
Practice address
2227 Vadalabene Dr
Suite 100
Maryville, IL 62062-5823
Phone
(618) 288-1140
NPI assigned
Feb 22, 2006
Last updated
Aug 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2015026177 MO
Hematology & Oncology Physician 207RH0003X 40555 KY
Hematology & Oncology Physician 207RH0003X 036140637 IL Primary

Addresses

Primary practice location

2227 Vadalabene Dr
Suite 100
Maryville, IL 62062-5823

Mailing address

PO Box 504407
Saint Louis, MO 63150-4407
Phone (816) 502-7000

Other identifiers 4

IdentifierTypeStateIssuer
P00395450OtherKYRR MEDICARE
2015026177OtherMOLICESNSE
611243OtherHEALTHLINK
7100020340MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150812006238 MO Practitioner - Hematology/Oncology 6800992397 Reassigns benefits to 1 organization
I20161013002101 IL Practitioner - Medical OncologyPractitioner - Hematology 6800992397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Specialists Services-Illinois LLCGroup PAC ID 1254629801, 7 clinicians

Practice addresses (Care Compare)

2227 Vadalabene Dr
Suite 200
Maryville, IL 62062-5824
Phone (618) 288-1140

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Surgical Specialists-Illinois LLC CurrentSince Apr 2, 2018 Accepting new patients
Mercy Clinic Oncology, LLC Hematology & Oncology CurrentSince Dec 9, 2025 Accepting new patients
Mercy Clinic Specialists Services-Illinois LLC Hematology & Oncology CurrentSince Aug 7, 2016 Accepting new patients

Locations

2227 Vadalabene Dr
Ste 100
Maryville, IL 62062
Phone (618) 288-1140

2227 Vadalabene Dr
Ste 200
Maryville, IL 62062
Phone (618) 288-1140

607 S New Ballas Rd
Ste 33
Saint Louis, MO 63141
Phone (314) 251-4400

1000 E Cherry St
Fl 3
Troy, MO 63379
Phone (636) 528-3276

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Interoperability endpoints

  • Direct secure messaging: sarshad765214@directc.mercy.net

Organizations & group practices 3

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 10

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1154396182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504407",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504407",
            "telephone_number": "816-502-7000",
            "fax_number": "816-932-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 VADALABENE DR",
            "address_2": "SUITE 100",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625823",
            "telephone_number": "618-288-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARSHAD",
        "first_name": "SYED",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2015026177",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "40555",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036140637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00395450",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICESNSE",
            "identifier": "2015026177",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "611243",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100020340",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.