Active NPI
Javad Christopher Vaziri, D.O.
- Critical Care Medicine (Internal Medicine) Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 2014007000
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-6486
- NPI assigned
- Jun 26, 2011
- Last updated
- Jun 8, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10040005 | TX | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2014007000 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
625 S New Ballas Rd
Suite 7020
Saint Louis, MO 63141-8253
Phone (314) 251-6486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6486
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10040005 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Aco Clinical Services Inc | Current | Accepting new patients | |
| Mercy Clinic Adult Critical Care, LLC | Critical Care Medicine | Current | Accepting new patients |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Internal Medicine | Past | Accepting new patients |
Locations
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Care Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1730119421
-
- Neurology Physician
- Chesterfield, MO
- NPI 1063965093
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1528354727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S NEW BALLAS RD",
"address_2": "SUITE 7020",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418253",
"telephone_number": "314-251-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZIRI",
"first_name": "JAVAD",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-26",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10040005",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MO",
"license": "2014007000",
"primary": true
}
],
"identifiers": [],
"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 Jun 8, 2016; 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.