Active NPI
Imran Haider, M.D.
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2014021221
- Practice address
- 10010 Kennerly Rd
3 Southbridge
Saint Louis, MO 63128-2106 - Phone
- (314) 525-1328
- Fax
- (314) 525-1378
- NPI assigned
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9003635-1205 | UT | |
| Cardiovascular Disease Physician | 207RC0000X | BP10054986 | TX | |
| Internal Medicine Physician | 207R00000X | 2014021221 | MO | Primary |
Addresses
Primary practice location
10010 Kennerly Rd
3 Southbridge
Saint Louis, MO 63128-2106
Mailing address
10010 Kennerly Rd
3 Southbridge
Saint Louis, MO 63128-2106
Phone (314) 525-1328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1899
10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-3423
232 S Woods Mill Rd
Chesterfield, MO 63017-3406
Phone (314) 434-1500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10054986 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Regional Hospitalists LLC | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Utah Regional Hospitalists LLC | Current | Accepting new patients | |
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Physician Specialists of St Lukes LLC | Internal Medicine | Current | Accepting new patients |
| St Anthonys Physician Organization Hospitalist Services, L.C. | Current | Accepting new patients | |
| Cogent Healthcare of Missouri, Inc | Current | Accepting new patients | |
| St Anthonys Physician Organization Hospitalist Services, L.C. | Current | Accepting new patients | |
| Galen Inpatient Physicians PC. | Internal Medicine | Current | Accepting new patients |
| St. Lukes Episcopal-Presbyterian Hospital | Past | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients | |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Internal Medicine | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
10010 Kennerly Rd
#3
Saint Louis, MO 63128
Phone (314) 525-1328
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1235168410
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
-
- Critical Care Medicine (Internal Medicine) Physician
- Fenton, MO
- NPI 1780961599
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Internal Medicine
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
Cardiovascular Disease
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, MO
-
- Hospitalist Physician
- Murray, UT
- NPI 1962821223
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1710265574
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- Idaho Falls, ID
- NPI 1740715507
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1306132196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD",
"address_2": "3 SOUTHBRIDGE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "314-525-1328",
"fax_number": "314-525-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD",
"address_2": "3 SOUTHBRIDGE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "314-525-1328",
"fax_number": "314-525-1378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIDER",
"first_name": "IMRAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-21",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "9003635-1205",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "BP10054986",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2014021221",
"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 Aug 7, 2024; 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.