Active NPI
Mowaffaq R Said, MD
- Nephrology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 117438
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204788525 | Medicaid | MO |
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
- Nephrology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| Missouri Delta Medical Center | Internal Medicine | Current | Accepting new patients |
| SSM Health Care Group | Internal Medicine | Current | 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
- 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.
-
dba SLUCare Physician Group
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Internal Medicine Physician
- Sikeston, MO
- NPI 1508967860
-
dba SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Shrewsbury Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saint Louis, MO
- NPI 1326009937
Dialysis facility
-
dba Forest Park Dialysis Clinic
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saint Louis, MO
- NPI 1548201874
Dialysis facility
-
dba Hampton Avenue Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saint Louis, MO
- NPI 1073574794
Dialysis facility
-
dba Sikeston Jaycee Regional Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sikeston, MO
- NPI 1255638839
Dialysis facility
-
- General Acute Care Hospital
- Sikeston, MO
- NPI 1831269539
-
dba SSM Health Saint Louis University Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.