Individual provider Active NPI

Maged Haikal

  • Cardiovascular Disease Physician
  • Chesterfield, MO
National Provider Identifier
1306803309
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35809 Issued in MO
Practice address
222 S Woods Mill Rd
Suite 500 North
Chesterfield, MO 63017-3625
Phone
(314) 205-6699
Fax
(314) 590-5923
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35809 MO Primary

Addresses

Primary practice location

222 S Woods Mill Rd
Suite 500 North
Chesterfield, MO 63017-3625

Mailing address

222 S Woods Mill Rd
Suite 500 North
Chesterfield, MO 63017-3625
Phone (314) 205-6699

Other identifiers 4

IdentifierTypeStateIssuer
268240OtherMOGHP
204715601MedicaidMO
P00286513OtherMOMEDICARE RAILROAD
202293OtherMOBCBS

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
I20050922000591 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9537193271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Ensworth Medical College, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Specialists of St Lukes LLCGroup PAC ID 6709810880, 8 clinicians

Practice addresses (Care Compare)

222 S Woods Mill Rd
500N
Chesterfield, MO 63017-3640
Phone (314) 205-6699

Hospital & facility affiliations

  • St Luke'S Home Health Services Home health agency, Chesterfield, MO, CCN 267561
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35809MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Specialists of St Luke'S, LLC Cardiovascular Disease CurrentSince Jun 13, 2005 Accepting new patients
Ozarks Medical Center Past Accepting new patients
St. Lukes Medical Group Past Accepting new patients

Locations

121 Saint Lukes Center Dr
Ste 200
Chesterfield, MO 63017
Phone (314) 576-2475

222 S Woods Mill Rd
Ste 500N
Chesterfield, MO 63017
Phone (314) 205-6699

222 S Woods Mill Rd
Ste 500
Chesterfield, MO 63017
Phone (314) 205-6969

121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278

508 Old Smizer Mill Rd
Fenton, MO 63026
Phone (636) 343-5223

2315 Dougherty Ferry Rd
Ste 109B
Saint Louis, MO 63122
Phone (314) 205-6600

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1306803309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 500 NORTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-205-6699",
            "fax_number": "314-205-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 500 NORTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-205-6699",
            "fax_number": "314-590-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIKAL",
        "first_name": "MAGED",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "35809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "268240",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204715601",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00286513",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "202293",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.