Active NPI
Mohammad Nour Zabad
- Cardiovascular Disease Physician
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2019009597
- Practice address
- 12266 De Paul Dr Ste 205
Bridgeton, MO 63044-2514 - Phone
- (314) 218-2300
- NPI assigned
- Sep 6, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 004116 | NY | |
| Hospitalist Physician | 208M00000X | 004116 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 2019009597 | MO | Primary |
Addresses
Primary practice location
12266 De Paul Dr Ste 205
Bridgeton, MO 63044-2514
Mailing address
PO Box 955534
Saint Louis, MO 63195-5534
Other practice location 1
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-5067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03476322 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | mzabad402004@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12266 Depaul Dr
Suite 205
Bridgeton, MO 63044-2514
Phone (314) 645-6450
12303 Depaul Dr
SSM Health Depaul Hospital Physician Billin
Bridgeton, MO 63044-2512
Phone (314) 344-6000
2 Saint Anthonys Way
Suite 305
Alton, IL 62002-4569
Phone (618) 465-9024
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004116 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Cardiovascular Disease | Current | Accepting new patients |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM Health Care St. Louis | Cardiovascular Disease | Current | Accepting new patients |
| SSM Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| SSM Health Care St. Louis | Internal Medicine | Past | Accepting new patients |
Locations
2 Saint Anthonys Way
Ste 305
Alton, IL 62002
Phone (618) 462-2222
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200
12266 De Paul Dr
Ste 205
Bridgeton, MO 63044
Phone (314) 218-2300
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
Interoperability endpoints
- mzabad402004@direct-ehr-ssmhc.com
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
Cardiovascular Disease
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
IL, Internal Medicine
-
- Clinic/Center
- Belleville, IL
- NPI 1356590178
-
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1609109883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955534",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631955534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12266 DE PAUL DR STE 205",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442514",
"telephone_number": "314-218-2300"
}
],
"practiceLocations": [
{
"address_1": "1425 Portland Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146213001",
"country_code": "US",
"telephone_number": "585-922-5067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZABAD",
"first_name": "MOHAMMAD NOUR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-06",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "004116",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "004116",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2019009597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03476322",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "12266 De Paul Dr Ste 205",
"city": "Bridgeton",
"state": "MO",
"country_code": "US",
"postal_code": "630442514",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mzabad402004@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mzabad402004@direct-ehr-ssmhc.com",
"address_1": "12266 De Paul Dr Ste 205",
"city": "Bridgeton",
"state": "MO",
"country_code": "US",
"postal_code": "630442514",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 7, 2021; 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.