Individual provider Active NPI

Abdul Rauf, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1619533890
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2022011924 Issued in MO
Practice address
6420 Clayton Road. SSM Health St. Mary's Hospital
St. Louis, MO 63117
Phone
(314) 768-8778
Fax
(314) 768-7101
NPI assigned
May 14, 2019
Reactivated
Jan 11, 2020
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 2022011924 MO Primary

Addresses

Primary practice location

6420 Clayton Road. SSM Health St. Mary's Hospital
St. Louis, MO 63117

Mailing address

6420 Clayton Road. SSM Health St. Mary's Hospital
St. Louis, MO 63117
Phone (314) 768-8778

Other practice location 1

11160 Village North Dr
Jennings, MO 63136-6159
Phone (636) 288-4149

Other practice location 2

401 Corporate Park Dr
Clayton, MO 63105-4201
Phone (636) 288-4149

Other practice location 3

10 Hospital Dr Fl 3
Saint Peters, MO 63376-1659
Phone (636) 288-4149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221011001097 MO Practitioner - Internal Medicine 9133505423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Illinois LLCGroup PAC ID 1557533734, 193 clinicians
Med Clinical Practice LLCGroup PAC ID 9537605274, 16 clinicians

Practice addresses (Care Compare)

100 Medical PLZ
Lake Saint Louis, MO 63367-1366
Phone (636) 625-5200

401 Corporate Park Dr
Clayton, MO 63105-4201
Phone (716) 292-6551

500 Medical Dr
Wentzville, MO 63385-3421
Phone (636) 327-1000

6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Med Clinical Practice LLC Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Cogent Healthcare of Missouri, Inc CurrentSince Sep 1, 2022 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

998 Woods Mill Rd
Ballwin, MO 63011
Phone (636) 288-4149

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

2025 Zumbehl Rd
Saint Charles, MO 63303
Phone (636) 288-4149

11160 Village North Dr
Saint Louis, MO 63136
Phone (314) 355-8010

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

401 Corporate Park Dr
Saint Louis, MO 63105
Phone (314) 725-7447

4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

10 Hospital Dr
Fl 3
Saint Peters, MO 63376
Phone (314) 576-5545

5400 Executive Centre Pkwy
Saint Peters, MO 63376
Phone (636) 288-4149

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: rabdul312035@direct-ehr-ssmhc.com

Organizations & group practices 4

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 2

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1619533890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON ROAD. SSM HEALTH ST. MARY'S HOSPITAL",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63117",
            "telephone_number": "314-768-8778",
            "fax_number": "314-768-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON ROAD. SSM HEALTH ST. MARY'S HOSPITAL",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63117",
            "telephone_number": "314-768-8778",
            "fax_number": "314-768-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11160 Village North Dr",
            "address_purpose": "LOCATION",
            "city": "Jennings",
            "state": "MO",
            "postal_code": "631366159",
            "country_code": "US",
            "telephone_number": "636-288-4149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Corporate Park Dr",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "MO",
            "postal_code": "631054201",
            "country_code": "US",
            "telephone_number": "636-288-4149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Hospital Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761659",
            "country_code": "US",
            "telephone_number": "636-288-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUF",
        "first_name": "ABDUL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "deactivation_date": "2019-12-23",
        "reactivation_date": "2020-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2022011924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.