Individual provider Active NPI

Mustafaa Saleem Mahmood, MD

  • Radiation Oncology Physician
  • Saint Louis, MO
National Provider Identifier
1205399847
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2024023252 Issued in MO
Practice address
10 Barnes West Dr
Dept Radiation Oncology, Ste 101
Saint Louis, MO 63141-6287
Phone
(314) 996-3335
Fax
(314) 996-3338
NPI assigned
Apr 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2024023252 MO Primary

Addresses

Primary practice location

10 Barnes West Dr
Dept Radiation Oncology, Ste 101
Saint Louis, MO 63141-6287

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 996-3335

Other identifiers 1

IdentifierTypeStateIssuer
200086243MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20240910000544 MO Practitioner - Radiation Oncology 9335478916 Reassigns benefits to 1 organization
I20240910001034 IL Practitioner - Radiation Oncology 9335478916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Southern Illinois University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (314) 362-7200

12634 Olive Blvd
Saint Louis, MO 63141-6337
Phone (314) 362-9715

1404 Cross St
Shiloh, IL 62269-2988
Phone (314) 362-7200

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (314) 362-7200

4921 Parkview PL
Lowr LVL
Saint Louis, MO 63110-1032
Phone (314) 362-9715

5225 Mid America PLZ
Saint Louis, MO 63129-0002
Phone (314) 286-1911

6 Memorial Dr
BLDG C
Alton, IL 62002-6751
Phone (618) 433-7979

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024023252MOMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Physicians in Illinois, Inc. CurrentSince Sep 2, 2024 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Sep 2, 2024 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients
Washington University CurrentSince Sep 2, 2024 Accepting new patients
Washington University CurrentSince Sep 2, 2024 Accepting new patients
Washington University Past Accepting new patients

Locations

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

1255 Graham Rd
Florissant, MO 63031
Phone 31436272001

4921 Parkview Pl
Lowr Lvl
Saint Louis, MO 63110
Phone (314) 362-9715

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700

660 S Euclid Ave
#8224
Saint Louis, MO 63110
Phone (314) 362-8566

10 Barnes West Dr
Ste 101
Saint Louis, MO 63141
Phone (314) 996-3335

660 S Euclid Ave
Saint Louis, MO 63110

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

5225 Mid America Plz
Ste 100
Saint Louis, MO 63129

150 Entrance Way
Saint Peters, MO 63376
Phone (636) 916-9920

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 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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1205399847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-996-3335",
            "fax_number": "314-996-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BARNES WEST DR",
            "address_2": "DEPT RADIATION ONCOLOGY, STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416287",
            "telephone_number": "314-996-3335",
            "fax_number": "314-996-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "MUSTAFAA",
        "middle_name": "SALEEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-04-17",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "2024023252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200086243",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "10 Barnes West Dr",
            "address_2": "Dept Radiation Oncology, Ste 101",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.