Active NPI
Yam Medical Center LLC
- General Practice Physician
- Bridgeton, MO
National Provider Identifier
1568072650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- YAM MEDICAL CENTER LLC
- Practice address
- 12800 Boenker LN
Bridgeton, MO 63044-2438 - Phone
- (314) 499-6060
- Fax
- (312) 261-9222
- NPI assigned
- Aug 4, 2020
- Last updated
- Feb 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hassan Jafri
- Title
- Owner/Provider
- Phone
- (314) 499-6060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
12800 Boenker LN
Bridgeton, MO 63044-2438
Mailing address
12800 Boenker LN
Bridgeton, MO 63044-2438
Phone (314) 499-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Saint Peters, MO
- NPI 1801385471
-
- Family Nurse Practitioner
- Florissant, MO
- NPI 1326771452
-
- Family Nurse Practitioner
- Maryland Heights, MO
- NPI 1053782276
-
- Gerontology Nurse Practitioner
- Bridgeton, MO
- NPI 1114594736
-
- Adult Medicine Physician
- Fenton, MO
- NPI 1417337676
-
- Physician Assistant
- Saint Louis, MO
- NPI 1942569215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1568072650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12800 BOENKER LN",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442438",
"telephone_number": "314-499-6060",
"fax_number": "312-261-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12800 BOENKER LN",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442438",
"telephone_number": "314-499-6060",
"fax_number": "312-261-9222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAM MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-04",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "JAFRI",
"authorized_official_first_name": "HASSAN",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "314-499-6060"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.