Active NPI
Mohammad Asif Qaisrani, M.D.
- Psychiatry Physician
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2000169534
- Practice address
- 1721 Stifel Lane Dr
Chesterfield, MO 63017-8048 - Phone
- (314) 439-9033
- Fax
- (314) 206-3992
- NPI assigned
- Jul 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2000169534 | MO | Primary |
Addresses
Primary practice location
1721 Stifel Lane Dr
Chesterfield, MO 63017-8048
Mailing address
1721 Stifel Lane Dr
Chesterfield, MO 63017-8048
Phone (314) 439-9033
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200009702 | Other | MO | BNDD |
| 2000169534 | Other | MO | LICENSE NUMBER |
| 205163918 | Medicaid | MO | |
| 036.122309 | Other | IL | ILLINOIS LICENSE |
Other names 1
- M Asif Qaisrani
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
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1899
10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-3423
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6339
Hospital & facility affiliations
- Mercy Hospital St Louis
- Mercy Hospital South
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy East Support Services, LLC | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Current | Accepting new patients | |
| St Anthonys Physician Organization Hospitalist Services, L.C. | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists - Washington, LLC | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Current | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients | |
| Betty Jean Kerr People'S Health Centers | Past | Accepting new patients | |
| Compass Health, Inc. | Past | Accepting new patients | |
| Mercy Hospitals East Communities | Past | Accepting new patients | |
| Mercy Hospitals East Communities | Past | Accepting new patients | |
| Horizon Mental Health Management LLC | Psychiatry | Past | Accepting new patients |
Locations
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
10018 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-4412
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
851 E 5th St
Ste 154
Washington, MO 63090
Phone (314) 251-6663
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Organizations & group practices 11
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
- Saint Louis, MO
- NPI 1841235108
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
-
- Hospitalist Physician
- Washington, MO
- NPI 1891943429
-
- Internal Medicine Physician
- Festus, MO
- NPI 1083052492
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1225382013
-
- Community/Behavioral Health Agency
- Saint Louis, MO
- NPI 1679604318
-
- Federally Qualified Health Center (FQHC)
- High Ridge, MO
- NPI 1891040077
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Psychiatric Hospital Unit
- Saint Louis, MO
- NPI 1881792547
-
- Psychiatry Physician
- Lewisville, TX
- NPI 1255380176
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1245250968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 STIFEL LANE DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630178048",
"telephone_number": "314-439-9033",
"fax_number": "314-206-3992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 STIFEL LANE DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630178048",
"telephone_number": "314-439-9033",
"fax_number": "314-206-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QAISRANI",
"first_name": "MOHAMMAD",
"middle_name": "ASIF",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2023-03-07",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2000169534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "200009702",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "2000169534",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205163918",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE",
"identifier": "036.122309",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "M",
"last_name": "QAISRANI",
"middle_name": "ASIF",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.