Nadeem Ahmed, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Saint Louis, MO
NPI 1376546804 · NPPES record last updated Jun 1, 2021
Key facts
- NPI
- 1376546804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- R4P08 (MO)
- Practice address
- 777 Craig Rd Ste 130
Saint Louis, MO 63141-7133 - Phone
- (314) 473-6183
- Fax
- (314) 552-7579
- NPI assigned
- May 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 35
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Waukegan Clinic Corp
Osf Multi-Specialty Group
Touchette Regional Hospital Inc
Washington County Memorial Hospital
Jersey Community Hospital
Practice addresses (Care Compare)
1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone (847) 360-3000
2 Saint Anthonys Way
Suite 305
Alton, IL 62002-4569
Phone (618) 465-9024
2071 Goose Lake Rd
Sauget, IL 62206-2822
Phone (618) 857-2700
300 Health Way
Potosi, MO 63664-1420
300 Health Way Dr
Potosi, MO 63664-1420
Phone 5734385451355
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402
5900 Bond Ave
Cahokia Heights, IL 62207-2326
Phone (618) 332-3060
777 Craig Rd
Suite 130
Saint Louis, MO 63141-7133
Phone (314) 473-6183
Hospital & facility affiliations
- Osf Saint Anthony'S Health Center
- Jersey Community Hospital
- Vista Medical Center East
- Touchette Regional Hospital Inc
- Washington County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050104000139 | MO | Practitioner - Pulmonary Disease |
9032029848 | Reassigns benefits to 4 organizations |
| I20110210000486 | IL | Practitioner - Pulmonary Disease |
9032029848 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4P08 | MO | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology Hematology Associates of Northern Illinois, LTD | Current |
Accepting new patients | |
| Impact Physician Group, Missouri, LLC | Pulmonary Disease | Current |
Accepting new patients |
| Waukegan Clinic Corp | Current |
Accepting new patients | |
| Granite City Hospitalist Services LLC | Current |
Accepting new patients | |
| Jersey Community Hospital | Current |
Accepting new patients | |
| Southern Illinois Health Care Foundation, Inc. | Current |
Accepting new patients | |
| Touchette Regional Hospital Inc | Current |
Accepting new patients | |
| Physician Specialists of St Lukes LLC | Critical Care Medicine | Current |
Accepting new patients |
| Jersey Community Hospital | Current |
Accepting new patients | |
| Vital Health Partners LLC | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Southern Illinois Healthcare Foundation Inc | Current |
Accepting new patients | |
| Southern Illinois Healthcare Foundation Inc | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Granite City Physicians Corp | Past |
Accepting new patients | |
| Emergency Physicians of St. Luke'S, LLC | Past | Accepting new patients | |
| Saint Louis Connectcare | Pulmonary Disease | Past | Accepting new patients |
Locations
2 Saint Anthonys Way
Ste 305
Alton, IL 62002
Phone (618) 462-2222
2 Saint Anthonys Way
Ste 105
Alton, IL 62002
Phone (618) 465-2761
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
2 Terminal Dr
Ste 8
East Alton, IL 62024
Phone (618) 258-0485
5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060
2001 State St
East St Louis, IL 62205
Phone (618) 271-0204
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888
400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473
1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000
12380 De Paul Dr
Bridgeton, MO 63044
Phone (314) 447-9700
121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278
500 NW 68th St
Kansas City, MO 64118
Phone (816) 420-3600
4930 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 361-8700
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
10018 Kennerly Rd
Fl 3
Saint Louis, MO 63128
Phone (314) 361-8100
6150 Oakland Ave
Saint Louis, MO 63139
Phone (314) 768-3000
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
Interoperability endpoints
- dahmedmd@yourcarecommunity.org
- nadeem.ahmed.p1@direct.wcmh-clinics.nextgenshare.com
- nadeem.ahmed.1@28328.direct.athenahealth.com
- nadeem.ahmed.1@9559.direct.athenahealth.com
- https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | R4P08 | MO | |
| Pulmonary Disease Physician | 207RP1001X | R4P08 | MO | Yes |
Addresses
Primary practice location
777 Craig Rd Ste 130
Saint Louis, MO 63141-7133
Mailing address
777 Craig Rd Ste 130
Saint Louis, MO 63141-7133
Phone (314) 473-6183
Other practice location 1
2 Terminal Dr Ste 8
East Alton, IL 62024-2294
Phone (618) 258-0485
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208248120 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nadeem.ahmed.2@9559.direct.athenahealth.com | Direct |
Other providers in Saint Louis, MO
- Marwa Mustafa Mohammed Ahmed
- Mohamed Fawzi Ahmed
- Mohammed O. Ahmed
- Mustafa Ahmed
- Muteen Ahmed
- Nawal Mona Ahmed
- Ola Ahmed
- Parveen Ahmed
- Reda A Ahmed
- Safee Faraz Ahmed
All providers in Saint Louis, MO · Pulmonary Disease Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.