NPIMap

Individual provider Active NPI

Farhaan A Ahmad, MD

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1609923598
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2012008165 Issued in MO
Practice address
10012 Kennerly Rd Suite 300
St Louis, MO 63128-2197
Phone
(314) 842-0602
Fax
(314) 842-4372
NPI assigned
Jan 4, 2007
Last updated
Jul 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2012008165 MO Primary

Addresses

Primary practice location

10012 Kennerly Rd Suite 300
St Louis, MO 63128-2197

Mailing address

10012 Kennerly Rd Suite 300
St Louis, MO 63128-2197
Phone (314) 842-0602

Other identifiers 1

IdentifierTypeStateIssuer
P01067754OtherMOMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120716000081 MO Practitioner - Cardiovascular Disease (Cardiology) 9436241478 Reassigns benefits to 1 organization
I20220922000989 IL Practitioner - Cardiovascular Disease (Cardiology) 9436241478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Heart and Vascular LLCGroup PAC ID 8820016207, 112 clinicians
Mercy Clinic Specialists Services-Illinois LLCGroup PAC ID 1254629801, 7 clinicians

Practice addresses (Care Compare)

10012 Kennerly Rd
Suite 300
Saint Louis, MO 63128-2197
Phone (314) 842-0602

1019 Valmeyer Rd
Columbia, IL 62236-4123
Phone (314) 842-0602

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Illinois, LLC CurrentSince Aug 25, 2022 Accepting new patients
Mercy Clinic Specialists Services-Illinois LLC CurrentSince Aug 25, 2022 Accepting new patients
Mercy Clinic Heart and Vascular, LLC Cardiovascular Disease CurrentSince Jan 1, 2020 Accepting new patients
Mercy Clinic Surgical Specialists-Illinois LLC PastSince Apr 2, 2018 Accepting new patients
Long Hunter Inpatient Services PLLC Past Accepting new patients
Hospitalists at Stonecrest LLC Past Accepting new patients
Children and Adults Medical Group, LLC Past Accepting new patients

Locations

1019 Valmeyer Rd
Columbia, IL 62236
Phone (314) 543-5244

2227 Vadalabene Dr
Ste 200
Maryville, IL 62062
Phone (618) 288-1140

1001 S Kirkwood Rd
Ste 310
Saint Louis, MO 63122
Phone (314) 692-2807

10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807

10012 Kennerly Rd
Ste 300
Saint Louis, MO 63128
Phone (314) 842-0602

625 S New Ballas Rd
Ste 2015
Saint Louis, MO 63141
Phone (314) 251-1775

Interoperability endpoints

  • Direct secure messaging: fahmad992561@directc.mercy.net

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1609923598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD SUITE 300",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-842-0602",
            "fax_number": "314-842-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD SUITE 300",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-842-0602",
            "fax_number": "314-842-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "FARHAAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2012008165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01067754",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.