Maisa A Nazzal, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

2016012961 Issued in MO

Practice address

675 Old Ballas Rd Ste 104
Saint Louis, MO 63141-7083

Phone

(314) 993-4949

Fax

(314) 993-4945

NPI assigned

Aug 1, 2008

Last updated

Nov 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

NephrologyAlso: Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Med Clinical Practice LLCGroup PAC ID 9537605274, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Bowles Avenue Dialysis Dialysis facility, Fenton, MO, CCN 262649
• DaVita House Springs Dialysis Dialysis facility, House Springs, MO, CCN 262693
• Concerto Missouri LLC Dialysis facility, Kansas City, MO, CCN 262700
• SSM St Clare Health Center Hospital, Fenton, MO, CCN 260081
• SSM Health St Mary's Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091
• Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180
• SSM Health Saint Louis University Hospital Hospital, Saint Louis, MO, CCN 260105

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnazzal134838@direct.carenet.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Med Clinical Practice LLC

  • Internal Medicine Physician
  • Clayton, MO
  • NPI 1699516690
  Medicare reassignment Care Compare group NPD
• Nice Nephrology, LLC

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1801492855
  Medicare reassignment NPD Authorized official
• Doctors Group , PC

  • Internal Medicine Physician
  • Bridgeton, MO
  • NPI 1730259888
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Concerto Missouri LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kansas City, MO
  • NPI 1316530462

  Dialysis facility

  Care Compare affiliation Name & address match
• Loup Dialysis LLC

  dba Bowles Avenue Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fenton, MO
  • NPI 1154617892

  Dialysis facility

  Care Compare affiliation Name & address match
• Sparda Dialysis LLC

  dba House Springs Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • House Springs, MO
  • NPI 1851892731

  Dialysis facility

  Care Compare affiliation Name & address match
• Christian Hospital Northeast- Northwest

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1639186760
  Care Compare affiliation
• Christian Hospital Northeast-Northwest

  dba Christian Hospital

  • Ambulance
  • Saint Louis, MO
  • NPI 1073769329

  Hospital

  Care Compare affiliation
• SSM Health Care St. Louis

  dba SSM Health Cardinal Glennon Children's Hospital

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1336387836
  Care Compare affiliation
• SSM Health Care St. Louis

  dba SSM Health St. Clare Hospital - Fenton

  • General Acute Care Hospital
  • Fenton, MO
  • NPI 1851496152
  Care Compare affiliation
• SSM Health Care St. Louis

  dba SSM Health St. Mary's Hospital - St. Louis

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1962572396
  Care Compare affiliation
• SSM-Sluh Inc

  dba SSM Health Saint Louis University Hospital

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1942685920
  Care Compare affiliation

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1295991073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630220315",
            "telephone_number": "419-508-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 OLD BALLAS RD STE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417083",
            "telephone_number": "314-993-4949",
            "fax_number": "314-993-4945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Corporate Park Dr",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "MO",
            "postal_code": "631054201",
            "country_code": "US",
            "telephone_number": "636-288-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZZAL",
        "first_name": "MAISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "29008",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036147677",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E7470",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2016012961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Nicole Naylor, FNP-BC
• Patricia Y Naylor, P.T., M.S.
• Nazareth Living Center
• Neelofur Nazeer, M.D.
• Arash Nazeri, MD
• Mustafa D.M Nazzal, M.D., MLS, FACS
• Ashley Nazzoli, PHARMD
• Ellie Nazzoli, PHARMD
• Leah Kalinda Nchama, MD
• Fatou Ndaw, MD

• Nephrology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.