Active NPI
Abdul Rauf, M.D.
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2022011924
- 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, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Med Clinical Practice LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Missouri, Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- Clayton, MO
- NPI 1699516690
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Internal Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Fenton, MO
- NPI 1780961599
-
dba SSM Health St Joseph Hospital - Lake Saint Louis
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St. Joseph Hospital - St. Charles
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
dba SSM Health St Joseph Hospital - Lake Saint Louis
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.