Individual provider Active NPI

Asim Razzaq, MD

  • Urology Physician
  • Saint Peters, MO
National Provider Identifier
1164531877
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
118587 Issued in MO
Practice address
112 Piper Hill Dr Ste 12
Saint Peters, MO 63376-1690
Phone
(369) 996-9202
Fax
(314) 743-1338
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036094514 IL
Urology Physician 208800000X 118587 MO Primary

Addresses

Primary practice location

112 Piper Hill Dr Ste 12
Saint Peters, MO 63376-1690

Mailing address

12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE) Barnes Jewish St Peters Hospital Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100322000860 MO Practitioner - Urology 7517963168 Reassigns benefits to 2 organizations
I20220204002162 IL Practitioner - Urology 7517963168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Saint Louis University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

112 Piper Hill Dr
Saint Peters, MO 63376-1690
Phone (636) 939-9202

12855 N 40 Dr
125 Neurosurgery of St Louis
Saint Louis, MO 63141-8663
Phone (314) 806-1770

12855 N 40 Dr
Arch Cancer Care
Saint Louis, MO 63141-8622
Phone (314) 523-5444

12855 N 40 Dr
Suite 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071

2 Saint Anthonys Way
Suite 300
Alton, IL 62002-4581
Phone (618) 462-2226

215 Dunn Rd
Florissant, MO 63031-7928
Phone (314) 315-9917

6812 State Route 162 200
Maryville, IL 62062-8562
Phone (618) 288-0900

Hospital & facility affiliations

  • Osf Saint Anthony'S Health Center Hospital, Alton, IL, CCN 140052
  • Barnes-Jewish St Peters Hospital Hospital, Saint Peters, MO, CCN 260191
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118587MOMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group, Inc. CurrentSince Dec 15, 2014 Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 24, 2022 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Jan 1, 2019 Accepting new patients
SSM Medical Group Inc. CurrentSince Dec 15, 2014 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Urology of St. Louis, Inc. Urology CurrentSince Jan 1, 2019 Accepting new patients
West County Adult Medicine, LLC PastSince Jul 1, 2008 Accepting new patients
Urology of St. Louis, Inc. Urology Past Accepting new patients

Locations

2 Saint Anthonys Way
Ste 300
Alton, IL 62002
Phone (618) 462-2226

2 Memorial Dr
Ste 102
Alton, IL 62002
Phone (618) 288-0900

6812 State Route 162
Ste 200
Maryville, IL 62062
Phone (618) 288-0900

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

3165 McKelvey Rd
Bridgeton, MO 63044
Phone (314) 206-3436

3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044

111 Saint Lukes Center Dr
Ste 40
Chesterfield, MO 63017
Phone (314) 434-3433

215 Dunn Rd
Florissant, MO 63031
Phone (314) 315-9911

20 Progress Point Pkwy
Ste 202
O Fallon, MO 63368
Phone (314) 993-6401

450 N New Ballas Rd
Ste 70
Saint Louis, MO 63141
Phone (314) 315-9911

12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415

12855 N 40 Dr
Ste 375
Saint Louis, MO 63141

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

11155 Dunn Rd
Ste 309E
Saint Louis, MO 63136
Phone (314) 741-9010

112 Piper Hill Dr
Ste 12
Saint Peters, MO 63376
Phone (314) 806-1770

Interoperability endpoints

  • Direct secure messaging: asimrazzaq@slus.allscriptsdirect.net

Organizations & group practices 8

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 7

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1164531877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 375",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418657",
            "telephone_number": "314-567-6071",
            "fax_number": "314-434-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PIPER HILL DR STE 12",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761690",
            "telephone_number": "369-996-9202",
            "fax_number": "314-743-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZAQ",
        "first_name": "ASIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036094514",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "118587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "Y",
            "endpointDescription": "bjc",
            "affiliationName": "Barnes Jewish St Peters Hospital Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "112 Piper Hill Dr Ste 12",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633761690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.