NPIMap

Individual provider Active NPI

Emily E Ziaee, M.D.

  • Otolaryngology Physician
  • Saint Louis, MO
National Provider Identifier
1235120130
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2001031973 Issued in MO
Practice address
10004 Kennerly Rd
Sle 183B
St Louis, MO 63128
Phone
(314) 843-8400
Fax
(314) 843-8402
NPI assigned
Oct 31, 2005
Last updated
Jun 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2001031973 MO Primary

Addresses

Primary practice location

10004 Kennerly Rd
Sle 183B
St Louis, MO 63128

Mailing address

10004 Kennerly Rd
Sle 183B
St Louis, MO 63128
Phone (314) 843-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000755 MO Practitioner - Otolaryngology 4981633807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Louisville School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians
Gwent LLCGroup PAC ID 3971925942, 13 clinicians

Practice addresses (Care Compare)

12 N Kingshighway
100 Wound Care
Perryville, MO 63775-1367
Phone (573) 768-3399

1508 Edgemont Blvd
Primary Care/Convenient Care
Perryville, MO 63775-1231
Phone (573) 768-3220

206 Hospital LN
Perryville, MO 63775-1382

210 Hospital LN
Perryville, MO 63775-4200

210 Hospital LN
Suite 203
Perryville, MO 63775-1276
Phone (573) 768-3285

212 Hospital LN
Perryville, MO 63775-4204

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1844
Phone (573) 768-3284

9701 Landmark Pkwy Dr
Suite 201
Saint Louis, MO 63127-1665
Phone (314) 843-3828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001031973MOMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwent LLC Otolaryngology CurrentSince Jun 1, 2020 Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Jan 16, 2026 Accepting new patients
Mercy Hospital Perry CurrentSince Mar 1, 2026 Accepting new patients
Gateway Audiology LLC PastSince Aug 28, 2022 Accepting new patients

Locations

1723 Broadway St
Ste 205
Cape Girardeau, MO 63701
Phone (573) 331-7830

1400 US Highway 61
Ste G40
Crystal Cty, MO 63028
Phone (314) 822-3122

212 Hospital Ln
Ste 202
Perryville, MO 63775
Phone (573) 331-3333

9701 Landmark Parkway Dr
Ste 201
Saint Louis, MO 63127
Phone (314) 645-6247

1987 Highway a
Ste 210
Washington, MO 63090
Phone (636) 390-2007

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1235120130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "SLE 183B",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-843-4000",
            "fax_number": "314-843-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "SLE 183B",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-843-8400",
            "fax_number": "314-843-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIAEE",
        "first_name": "EMILY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2001031973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.