Active NPI
Mudasir Asif, M.D.
- Psychiatry Physician
- Saint Louis, MO
National Provider Identifier
1265797898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2016008789
- Practice address
- 3535 S Jefferson Ave
Ste 118
Saint Louis, MO 63118-3930 - Phone
- (314) 776-7999
- NPI assigned
- Jul 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2012021716 | MO | |
| Psychiatry Physician | 2084P0800X | 2016008789 | MO | Primary |
Addresses
Primary practice location
3535 S Jefferson Ave
Ste 118
Saint Louis, MO 63118-3930
Mailing address
3535 S Jefferson Ave
Ste 118
Saint Louis, MO 63118-3930
Phone (314) 776-7999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016008789 | MO | MD | Psychiatry Physician |
| 2012021716 | MO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1265797898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 S JEFFERSON AVE",
"address_2": "STE 118",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183930",
"telephone_number": "314-776-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 S JEFFERSON AVE",
"address_2": "STE 118",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183930",
"telephone_number": "314-776-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASIF",
"first_name": "MUDASIR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2012021716",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2016008789",
"primary": true
}
],
"identifiers": [],
"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 Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.