Active NPI
Asif Bhutto, M.D.
- Internal Medicine Physician
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2008007521
- Practice address
- 3466 Bridgeland Dr Ste 105
Bridgeton, MO 63044-2606 - Phone
- (314) 209-5100
- NPI assigned
- May 16, 2008
- Last updated
- Mar 15, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2008007521 | MO | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 2004-012733 | MO | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 2008007521 | MO |
Addresses
Primary practice location
3466 Bridgeland Dr Ste 105
Bridgeton, MO 63044-2606
Mailing address
PO Box 8356
Saint Louis, MO 63132-0356
Phone (314) 977-8462
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000
3466 Bridgeland Dr
Suite 150
Bridgeton, MO 63044-2606
Phone (314) 219-7420
6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-012733 | MO | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialist in Aging Successfully LLC | Geriatric Medicine | Current | Accepting new patients |
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Missouri, Inc | Current | Accepting new patients | |
| Inpatient Consultants of Missouri Inc | Internal Medicine | Past | Accepting new patients |
Locations
12255 De Paul Dr
Ste 260
Bridgeton, MO 63044
Phone (314) 209-5100
12255 De Paul Dr
Ste 600
Bridgeton, MO 63044
Phone (314) 209-5100
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
3466 Bridgeland Dr
Ste 105
Bridgeton, MO 63044
Phone (314) 209-5100
3466 Bridgeland Dr
Ste 150
Bridgeton, MO 63044
Phone (314) 209-8222
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
14021 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 839-0910
1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
522 N New Ballas Rd
Ste 210
Saint Louis, MO 63141
Phone (314) 219-7420
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
Interoperability endpoints
- abhutto1097@direct-ehr-ssmhc.com
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Internal Medicine
-
- Geriatric Medicine (Internal Medicine) Physician
- Bridgeton, MO
- NPI 1023572690
-
- Critical Care Medicine (Internal Medicine) Physician
- Fenton, MO
- NPI 1780961599
-
dba SSM Health Medical Group
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
Internal Medicine
-
dba SSM Health Medical Group
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1194779579
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Creve Coeur, MO
- NPI 1215963921
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
dba Christian Hospital
- Ambulance
- Saint Louis, MO
- NPI 1073769329
Hospital
-
dba SSM Health DePaul Hospital - St. Louis
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1205093473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8356",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631320356",
"telephone_number": "314-977-8462",
"fax_number": "314-771-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3466 BRIDGELAND DR STE 105",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442606",
"telephone_number": "314-209-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHUTTO",
"first_name": "ASIF",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2008007521",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MO",
"license": "2004-012733",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MO",
"license": "2008007521",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
- Gavin Andrew Bettcher
- Colleen Bettger
- Beyond Better, Best Consumer Directed Services, LLC
- Beyond Better, Best Home Health Care Services, Limited Liability Corpo
- Beyond Qualified Home Care LLC
- Stanley I Biel, M.D.
- Mehwish Bilal, M.D.
- Bimla Dhan LLC
- Bio-Medical Applications of Missouri, Inc. (QCDC St. Louis)
- Biomedical Imaging LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.