Individual provider Active NPI

Sanaa Waheed, M.D.

  • Internal Medicine Physician
  • Des Peres, MO
National Provider Identifier
1154513000
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2011008022 Issued in MO
Practice address
1000 Des Peres Rd
Suite 310
Des Peres, MO 63131-2050
Phone
(314) 821-1313
Fax
(314) 821-5670
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2011008022 MO Primary
Internal Medicine Physician 207R00000X 2007017250 MO

Addresses

Primary practice location

1000 Des Peres Rd
Suite 310
Des Peres, MO 63131-2050

Mailing address

1000 Des Peres Rd
Suite 310
Des Peres, MO 63131-2050
Phone (314) 821-1313

Other identifiers 1

IdentifierTypeStateIssuer
P00983188OtherMORAILROAD MEDICARE

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
I20110506000678 MO Practitioner - Internal Medicine 5698950673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians
Elite Physical Therapy of Creve Coeur LLCGroup PAC ID 7719280841, 85 clinicians

Practice addresses (Care Compare)

1000 Des Peres Rd
Suite 310
Des Peres, MO 63131-2039
Phone (314) 821-1313

12788 Olive Blvd
Creve Coeur, MO 63141-6211

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Saint Louis, MO, CCN 267565
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007017250MOMDInternal Medicine Physician
2011008022MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Internal Medicine CurrentSince Apr 18, 2011 Accepting new patients
Mercy Clinic East Communities CurrentSince Apr 18, 2011 Accepting new patients

Locations

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

1000 Des Peres Rd
Ste 310
Saint Louis, MO 63131
Phone (314) 821-1313

Interoperability endpoints

  • Direct secure messaging: swaheed203918@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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1154513000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD",
            "address_2": "SUITE 310",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631312050",
            "telephone_number": "314-821-1313",
            "fax_number": "314-821-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD",
            "address_2": "SUITE 310",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631312050",
            "telephone_number": "314-821-1313",
            "fax_number": "314-821-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHEED",
        "first_name": "SANAA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2011008022",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007017250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00983188",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Peres, MO

Sources for this page

Verify at the official NPI Registry.