Mohammed O. Ahmed, MD
Individual provider Active NPI Interventional Cardiology Physician · Saint Louis, MO
NPI 1609437672 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1609437672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 2021017357 (MO)
- Practice address
- 10012 Kennerly Rd Ste 300
Saint Louis, MO 63128-2197 - Phone
- (314) 842-0602
- Fax
- (314) 842-4372
- NPI assigned
- Jun 21, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Oakland Univ, William Beaumont School of Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Chicago, IL 60677
Hospital & facility affiliations
- Barnes Jewish Hospital
- Barnes-Jewish West County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191212001740 | MO | Order and Referring Only - Internal Medicine |
5597198176 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021017357 | MO | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Heart and Vascular, LLC | Cardiovascular Disease | Current |
Accepting new patients |
Locations
10012 Kennerly Rd
Ste 300
Saint Louis, MO 63128
Phone (314) 842-0602
7345 Watson Rd
Lowr
Saint Louis, MO 63119
Phone (314) 842-0602
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2021017357 | MO | |
| Internal Medicine Physician | 207R00000X | 2021017357 | MO | |
| Interventional Cardiology Physician | 207RI0011X | 2021017357 | MO | Yes |
Addresses
Primary practice location
10012 Kennerly Rd Ste 300
Saint Louis, MO 63128-2197
Mailing address
10012 Kennerly Rd Ste 300
Saint Louis, MO 63128-2197
Phone (314) 842-0602
Other practice location 1
7345 Watson Rd Ste Ll1
Saint Louis, MO 63119-9804
Phone (314) 842-0602
Other practice location 2
1001 S Kirkwood Rd Ste 310
Saint Louis, MO 63122-7250
Phone (314) 842-0602
Other practice location 3
12200 Weber Hill Rd Ste 100
Saint Louis, MO 63127-1569
Phone (314) 842-0602
Other practice location 4
4280 Mid America Ln Ste 10
Saint Louis, MO 63129-1202
Phone (314) 842-0602
Other providers in Saint Louis, MO
- Hamza Mohiuddin Ahmed
- Humaa Ahmed
- Malik I Ahmed
- Marwa Mustafa Mohammed Ahmed
- Mohamed Fawzi Ahmed
- Mustafa Ahmed
- Muteen Ahmed
- Nadeem Ahmed
- Nawal Mona Ahmed
- Ola Ahmed
All providers in Saint Louis, MO · Interventional Cardiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.