Individual provider Active NPI

Malaz Safi, M.D.

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1447446489
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R9B71 Issued in MO
Practice address
8790 Watson Rd
Suite. 203
Saint Louis, MO 63119-5140
Phone
(314) 543-2850
Fax
(314) 543-2851
NPI assigned
Sep 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R9B71 MO Primary

Addresses

Primary practice location

8790 Watson Rd
Suite. 203
Saint Louis, MO 63119-5140

Mailing address

PO Box 31817
Saint Louis, MO 63131-0817
Phone (314) 543-2850

Other identifiers 4

IdentifierTypeStateIssuer
180007127OtherILRAIL ROAD MEDICARE
180007127OtherMORAILROAD MEDICARE
201857232MedicaidMO
321857203OtherMOMEDICAID OPTICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20041103000126 IL Practitioner - Ophthalmology 7618939513

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1836 Lackland Hill Pkwy
St Louis, MO 63146-3572

PO Box
Suite 185
East Saint Louis, IL 62202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9B71MOMDOphthalmology Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1447446489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31817",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631310817",
            "telephone_number": "314-543-2850",
            "fax_number": "314-543-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 WATSON RD",
            "address_2": "SUITE. 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195140",
            "telephone_number": "314-543-2850",
            "fax_number": "314-543-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFI",
        "first_name": "MALAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R9B71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "180007127",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180007127",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201857232",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OPTICAL",
            "identifier": "321857203",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.