Active NPI
Muhammad Ehtisham, M.D.
- Pulmonary Disease Physician
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2021030438
- Practice address
- 371 S Broadview St
Cape Girardeau, MO 63703-5761 - Phone
- (573) 331-7830
- NPI assigned
- Aug 13, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2021030438 | MO | Primary |
Addresses
Primary practice location
371 S Broadview St
Cape Girardeau, MO 63703-5761
Mailing address
PO Box 776084
Chicago, IL 60677-6084
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1019 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7702
371 S Broadview St
Cape Girardeau, MO 63703-5761
Phone (573) 331-6710
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Missouri Delta Medical Center | Internal Medicine | Current | Accepting new patients |
| Southeast Missouri Hospital Physicians, LLC | Pulmonary Disease | Current | Accepting new patients |
Locations
371 S Broadview St
Cape Girardeau, MO 63703
Phone (573) 331-6710
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
1019 N Main St
Sikeston, MO 63801
Phone (573) 472-7702
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.
-
- Internal Medicine Physician
- Sikeston, MO
- NPI 1508967860
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
Pulmonary Disease
-
- Community/Retail Pharmacy
- Malden, MO
- NPI 1578371621
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sikeston, MO
- NPI 1831269539
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
-
- General Acute Care Hospital
- Dexter, MO
- NPI 1801990825
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1407222433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776084",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 S BROADVIEW ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035761",
"telephone_number": "573-331-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHTISHAM",
"first_name": "MUHAMMAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-13",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "2021030438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.