Active NPI
Malaz Safi, M.D.
- Ophthalmology Physician
- Saint Louis, MO
National Provider Identifier
1447446489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R9B71
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180007127 | Other | IL | RAIL ROAD MEDICARE |
| 180007127 | Other | MO | RAILROAD MEDICARE |
| 201857232 | Medicaid | MO | |
| 321857203 | Other | MO | MEDICAID 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R9B71 | MO | MD | Ophthalmology 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.
-
dba Advanced Eye Care Center
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1255543047
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.