NPIMap

Organization Active NPI

Prevention First LLC

  • Internal Medicine Physician
  • Creve Coeur, MO
National Provider Identifier
1639166184
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREVENTION FIRST LLC
Practice address
11477 Olde Cabin Rd Ste 102
Creve Coeur, MO 63141-7137
Phone
(314) 432-5144
Fax
(314) 432-2400
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Mr. Usman Javaid, MDNPI 1104919992
Title
Owner
Phone
(314) 432-5144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11477 Olde Cabin Rd Ste 102
Creve Coeur, MO 63141-7137

Mailing address

PO Box 410823
Saint Louis, MO 63141-0823
Phone (314) 432-5144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050512000329 MO Part B Supplier - Clinic/Group Practice 7315987005 Receives reassigned benefits from 5 practitioners
Practice locations: Creve Coeur, MO; Saint Charles, MO; Weldon Spring, MO; Winfield, MO

National Provider Directory

National Provider Directory

Locations

17269 Wild Horse Creek Rd
Ste 240
Chesterfield, MO 63005
Phone (636) 778-1003

11477 Olde Cabin Rd
Ste 100
Creve Coeur, MO 63141
Phone (314) 432-5144

618 Hemsath Rd
Saint Charles, MO 63303
Phone (314) 432-5144

11477 Olde Cabin Rd
Ste 102
Saint Louis, MO 63141
Phone (314) 432-5144

2929 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (636) 373-7989

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1639166184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410823",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631410823",
            "telephone_number": "314-432-5144",
            "fax_number": "314-432-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11477 OLDE CABIN RD STE 102",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417137",
            "telephone_number": "314-432-5144",
            "fax_number": "314-432-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION FIRST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "JAVAID",
        "authorized_official_first_name": "USMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-432-5144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.