Individual provider Active NPI

Rafiq Ramadan, M.D.

  • Interventional Cardiology Physician
  • Saint Louis, MO
National Provider Identifier
1396769055
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
115267 Issued in MO
Practice address
11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136-6150
Phone
(314) 741-0911
Fax
(314) 741-0501
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 115267 MO
Cardiovascular Disease Physician 207RC0000X 036100225 IL
Cardiovascular Disease Physician 207RC0000X 036088862 IL
Interventional Cardiology Physician 207RI0011X 036088862 IL
Interventional Cardiology Physician 207RI0011X 036100225 MO
Interventional Cardiology Physician 207RI0011X 115267 MO Primary

Addresses

Primary practice location

11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136-6150

Mailing address

11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136-6150
Phone (314) 741-0911

Other practice location 1

2120 Madison Ave Ste 101
Granite City, IL 62040-4746
Phone (618) 876-8214

Other practice location 2

3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911

Other identifiers 2

IdentifierTypeStateIssuer
209980101MedicaidMO
36088862MedicaidIL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rafiqramadan@slhv.medalliesdirect.net Direct
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Christian Hospital Northeast- Northwest
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE) Christian Hospital Northeast- Northwest

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100217000813 MO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3779478128 Reassigns benefits to 1 organization
I20111228000138 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3779478128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Colorado School of Medicine, Denver, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Heart and Vascular PCGroup PAC ID 7719880129, 22 clinicians

Practice addresses (Care Compare)

11155 Dunn Rd
304E
Saint Louis, MO 63136-6111
Phone (314) 741-0911

11155 Dunn Rd
Suite 304E
Saint Louis, MO 63136-6150

2120 Madison Ave
Suite 101
Granite City, IL 62040-4746
Phone (618) 876-8214

3550 McKelvey Rd
Bridgeton, MO 63044-2527

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.17 of 100Reported as group
Quality
65.03
Improvement activities
20
Cost
79.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair15
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036100225ILMDCardiovascular Disease Physician
036100225MOMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Heart & Vascular, P.C. Cardiovascular Disease CurrentSince Jul 1, 1998 Accepting new patients
Premier Surgical Center LLC Past Accepting new patients
Granite City Physicians Corp Past Accepting new patients
Advanced Medical Testing Systems, Inc. Past Accepting new patients
Granite City Clinic Corp Past Accepting new patients

Locations

2120 Madison Ave
Ste 101
Granite City, IL 62040
Phone (618) 798-3000

3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048

507 W Pine St
Farmington, MO 63640
Phone (573) 454-2466

1551 Wall St
Ste 410
Saint Charles, MO 63303
Phone (314) 838-5702

2325 Dougherty Ferry Rd
Ste 203
Saint Louis, MO 63122
Phone (314) 480-6445

3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796

11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136
Phone 3147410911 ext. 4012

105 Creekside Office Dr
Wentzville, MO 63385
Phone (636) 639-6262

Interoperability endpoints

  • Direct secure messaging: rafiq.ramadan.p5@direct.ahgcardiology.nextgenshare.com
  • Direct secure messaging: rramadan@yourcarecommunity.org
  • Direct secure messaging: rramadan135129@direct.carenet.org

Organizations & group practices 5

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 11

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1396769055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD",
            "address_2": "STE 304E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366150",
            "telephone_number": "314-741-0911",
            "fax_number": "314-741-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD",
            "address_2": "STE 304E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366150",
            "telephone_number": "314-741-0911",
            "fax_number": "314-741-0501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Madison Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404746",
            "country_code": "US",
            "telephone_number": "618-876-8214",
            "fax_number": "618-451-9111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 McKelvey Rd",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442527",
            "country_code": "US",
            "telephone_number": "314-741-0911",
            "fax_number": "314-741-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMADAN",
        "first_name": "RAFIQ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "115267",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036100225",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036088862",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036088862",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "036100225",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "115267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209980101",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36088862",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rafiqramadan@slhv.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11155 Dunn Rd",
            "address_2": "Ste 304E",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Christian Hospital Northeast- Northwest",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "API",
            "address_1": "11133 Dunn Rd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Christian Hospital Northeast- Northwest",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11155 Dunn Rd",
            "address_2": "Ste 304E",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.