Individual provider Active NPI

Saadia Taufiq Raza, MD

  • MOHS-Micrographic Surgery Physician
  • O Fallon, MO
National Provider Identifier
1285727461
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
2003010750 Issued in MO
Practice address
6704 Keaton Corp Pkwy
O Fallon, MO 63368-8680
Phone
(636) 300-9596
Fax
(636) 300-9598
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 2003010750 MO Primary
Dermatology Physician 207N00000X 2003010750 MO
Internal Medicine Physician 207R00000X 2003010750 MO

Addresses

Primary practice location

6704 Keaton Corp Pkwy
O Fallon, MO 63368-8680

Mailing address

6704 Keaton Corp Pkwy
O Fallon, MO 63368-8680
Phone (636) 300-9596

Other practice location 1

4230 Philips Farm Rd
Columbia, MO 65201-0067
Phone (573) 882-4800

Other identifiers 1

IdentifierTypeStateIssuer
209080506MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University
Direct Messaging Address mudocreferral@direct.health.missouri.edu Direct Curators of the University of Missouri

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000832 MO Practitioner - Dermatology 0042275976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Emory University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Curators of the University of MissouriGroup PAC ID 4486759560, 1,108 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141

6704 Keaton Corporate Pkwy
O Fallon, MO 63368-8680
Phone (636) 300-9596

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision287
Removal of skin lesions24
Removal of skin cancer579
Skin biopsy27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center of Missouri, LLC CurrentSince Nov 1, 2007 Accepting new patients

Locations

856 Waterbury Falls Dr
Ste 100
O Fallon, MO 63368
Phone (636) 244-5004

6704 Keaton Corporate Pkwy
O Fallon, MO 63368
Phone (314) 276-0385

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7203a69f-f939-490d-8ac2-04ce52a8c7f3/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1285727461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 KEATON CORP PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688680",
            "telephone_number": "636-300-9596",
            "fax_number": "636-300-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 KEATON CORP PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688680",
            "telephone_number": "636-300-9596",
            "fax_number": "636-300-9598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4230 Philips Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652010067",
            "country_code": "US",
            "telephone_number": "573-882-4800",
            "fax_number": "573-884-0723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SAADIA",
        "middle_name": "TAUFIQ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MO",
            "license": "2003010750",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2003010750",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2003010750",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209080506",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "6704 Keaton Corp Pkwy",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633688680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mudocreferral@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "One Hospital Drive",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "65212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

Verify at the official NPI Registry.