Active NPI
Asim Razzaq, MD
- Urology Physician
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 118587
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Barnes-Jewish St Peters Hospital
- St Lukes Hospital
- Mercy Hospital St Louis
- Christian Hospital Northeast
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118587 | MO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Urology of St. Louis, Inc. | Current | Accepting new patients | |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Urology of St. Louis, Inc. | Urology | Current | Accepting new patients |
| West County Adult Medicine, LLC | Past | 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
- 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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Specialist
- O Fallon, IL
- NPI 1265392476
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1497943393
-
- Urology Physician
- Fairview Heights, IL
- NPI 1528901287
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
-
- General Acute Care Hospital
- Alton, IL
- NPI 1710396932
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.