Individual provider Active NPI

Mowaffaq R Said, MD

  • Nephrology Physician
  • Saint Louis, MO
National Provider Identifier
1629173554
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
117438 Issued in MO
Practice address
3691 Rutger Street
Suite 222
St. Louis, MO 63110
Phone
(314) 762-0089
Fax
(314) 762-0098
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 117438 MO
Nephrology Physician 207RN0300X 117438 MO Primary

Addresses

Primary practice location

3691 Rutger Street
Suite 222
St. Louis, MO 63110

Mailing address

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 577-8765

Other practice location 1

1019 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7702

Other identifiers 1

IdentifierTypeStateIssuer
204788525MedicaidMO

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
I20081009000540 MO Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 3375611981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647

10887 W Florissant Ave
Saint Louis, MO 63136-2405
Phone (314) 524-5737

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

1225 S Grand Blvd
Saint Louis, MO 63104-1016

13134 Tesson Ferry Rd
Saint Louis, MO 63128-3806
Phone (314) 843-7390

135 Plaza Dr
Suite 101
Sikeston, MO 63801-5148
Phone (573) 472-7230

1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone (314) 577-8475

335 Mid Rivers Mall Dr
Saint Peters, MO 63376-1516
Phone (314) 970-3730

3691 Rutger St
Saint Louis, MO 63110-2515
Phone (314) 762-0089

6400 Clayton Rd
Saint Louis, MO 63117-1850
Phone (314) 977-6610

7303 Watson Rd
Suite 7
Saint Louis, MO 63119-4405
Phone (314) 842-2527

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
Missouri Delta Medical Center Internal Medicine CurrentSince Dec 15, 2002 Accepting new patients
SSM Health Care Group Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients

Locations

3655 Vista Ave
Saint Louis, MO 63110
Phone (314) 977-5110

3691 Rutger St
Ste 222
Saint Louis, MO 63110
Phone (314) 268-5300

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

135 Plaza Dr
Ste 101
Sikeston, MO 63801
Phone (573) 472-7230

1019 N Main St
Sikeston, MO 63801
Phone (573) 472-7702

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

Interoperability endpoints

  • Direct secure messaging: msaid236997@direct-ehr-ssmhc.com

Organizations & group practices 3

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.

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1629173554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-577-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 RUTGER STREET",
            "address_2": "SUITE 222",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-762-0089",
            "fax_number": "314-762-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sikeston",
            "state": "MO",
            "postal_code": "638015043",
            "country_code": "US",
            "telephone_number": "573-472-7702",
            "fax_number": "573-472-7719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAID",
        "first_name": "MOWAFFAQ",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-02-13",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "117438",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "117438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204788525",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.