NPIMap

Individual provider Active NPI

Asif Saiyed Shahab, M.D

  • Anatomic Pathology Physician
  • Saint Louis, MO
National Provider Identifier
1396095014
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
2012016163 Issued in MO
Practice address
660 S Euclid Ave
Dept. of Pathology, Division of Anatomic Pathology
Saint Louis, MO 63110-1010
Phone
(314) 362-0101
NPI assigned
Sep 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 2012016163 MO Primary

Addresses

Primary practice location

660 S Euclid Ave
Dept. of Pathology, Division of Anatomic Pathology
Saint Louis, MO 63110-1010

Mailing address

660 S Euclid Ave
Dept. of Pathology, Division of Anatomic Pathology
Saint Louis, MO 63110-1010
Phone (314) 362-0101

Other names 1

  • Saiyed Asif Shahab Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423001196 MO Practitioner - Pathology 8224355730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkway Pathology Group IncGroup PAC ID 5496728818, 9 clinicians

Practice addresses (Care Compare)

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012016163MOMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Baptist Medical Center Current Accepting new patients
Parkway Pathology Group, Inc. Anatomic Pathology CurrentSince Apr 1, 2015 Accepting new patients
Parkway Pathology Group Past Accepting new patients

Locations

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

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 6

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": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1396095014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "DEPT. OF PATHOLOGY, DIVISION OF ANATOMIC PATHOLOGY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "DEPT. OF PATHOLOGY, DIVISION OF ANATOMIC PATHOLOGY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHAB",
        "first_name": "ASIF",
        "middle_name": "SAIYED",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MO",
            "license": "2012016163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAIYED",
            "last_name": "SHAHAB",
            "middle_name": "ASIF",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.