NPIMap

Organization Active NPI

Midwest Medical Practitioners LLC

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1255709143
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2009017188 Issued in MO
Legal business name
MIDWEST MEDICAL PRACTITIONERS LLC
Practice address
5000 Cedar Plaza Pkwy Ste 300
Saint Louis, MO 63128-3891
Phone
(636) 282-0380
Fax
(877) 592-0806
NPI assigned
Sep 9, 2015
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Dr. Danish Jabbar, MDNPI 1114183019
Title
Physician/Owner
Phone
(636) 282-0380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2009017188 MO Primary

Addresses

Primary practice location

5000 Cedar Plaza Pkwy Ste 300
Saint Louis, MO 63128-3891

Mailing address

5000 Cedar Plaza Pkwy Ste 300
Saint Louis, MO 63128-3891
Phone (636) 282-0380

Other identifiers 1

IdentifierTypeStateIssuer
2009017188OtherMOLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151110000108 MO Part B Supplier - Clinic/Group Practice 8729398425 Receives reassigned benefits from 10 practitioners
Practice locations: Saint Louis, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2313253Midwest Medical Practitioners5000 Cedar Plaza Pkwy, Ste 300, Saint Louis, MO 63128Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations

3260 Baisch Dr
De Soto, MO 63020
Phone (636) 486-2291

703 E Main St
Park Hills, MO 63601
Phone (573) 347-3654

5000 Cedar Plaza Pkwy
Ste 230
Saint Louis, MO 63128
Phone (314) 849-1003

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1255709143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283891",
            "telephone_number": "636-282-0380",
            "fax_number": "877-592-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283891",
            "telephone_number": "636-282-0380",
            "fax_number": "877-592-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "JABBAR",
        "authorized_official_first_name": "DANISH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "636-282-0380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2009017188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2009017188",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.