Abid Nisar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R1D36 Issued in MO

Practice address

2730 S Saint Peters Pkwy Ste 103
Saint Peters, MO 63303-5677

Phone

(314) 960-1052

Fax

(636) 685-0021

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Hematology

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Heritage Wellness Clinic LLC

  • Internal Medicine Physician
  • Saint Peters, MO
  • NPI 1619483294
  Medicare reassignment NPD
• Pemiscot County Memorial Hospital

  • Emergency Care Clinic/Center
  • Hayti, MO
  • NPI 1578668661
  Medicare reassignment NPD
• Post Acute Wound Care Services LLC

  • Internal Medicine Physician
  • Clayton, MO
  • NPI 1154127660
  Medicare reassignment NPD
• Sureguard LLC

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1538917026
  Medicare reassignment NPD
• Medical Care Consultants LLC

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1346885688
  NPD Authorized official
• Abid Nisar

  • Hematology & Oncology Physician
  • Granite City, IL
  • NPI 1346350808
  NPD (past) Authorized official
• Pemiscot County Memorial Hospital

  • Rural Acute Care Hospital
  • Hayti, MO
  • NPI 1437179710
  NPD
• Terragenesis Home Healthcare LLC

  • Home Health Agency
  • Fenton, MO
  • NPI 1093492084
  NPD
• Excel Care Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
  • NPI 1437328572
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1245375567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 S SAINT PETERS PKWY STE 103",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633035677",
            "telephone_number": "314-960-1052",
            "fax_number": "636-685-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S SAINT PETERS PKWY STE 103",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633035677",
            "telephone_number": "314-960-1052",
            "fax_number": "636-685-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7721 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "MO",
            "postal_code": "631171301",
            "country_code": "US",
            "telephone_number": "314-546-6072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISAR",
        "first_name": "ABID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R1D36",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00204269",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202190617",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Randall Niehaus, D.D.S.
• Harry Randall Niehaus, D.D.S.
• Julianne Niemerg
• Melissa Niemeyer, CCC-SLP
• Madison Nieuwenhuizen
• NJL Chiropractic LC
• Stephanie Rose Nolan, M.A., P.L.P.C
• Heather Nolting
• Lori A Norby, M.S., CCC-A, FAAA
• Julia North, DC

• Internal Medicine Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.

Verify at the official NPI Registry.